Mavis Jackson
NPI 1083455315 · Child & Adolescent Psychiatric/Mental Health Registered Nurse · Orangeburg, NY
Mavis Jackson is a Child & Adolescent Psychiatric/Mental Health Registered Nurse provider in Orangeburg, NY (NPI 1083455315).
Provider details
- NPI number
- 1083455315
- Entity type
- Individual
- Primary specialty
- Child & Adolescent Psychiatric/Mental Health Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 572849 (NY)
Specialties & taxonomies
Nursing Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-06-03
- Last updated
- 2024-06-03
- Certified
- 2024-06-02
Frequently asked questions
- What is Mavis Jackson's NPI number?
- Mavis Jackson's National Provider Identifier (NPI) is 1083455315, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mavis Jackson's specialty?
- Mavis Jackson is listed in the NPPES registry with a primary specialty of Child & Adolescent Psychiatric/Mental Health Registered Nurse (Nursing Service Providers).
- Where is Mavis Jackson located?
- Mavis Jackson's practice location on file with NPPES is 140 Old Orangeburg Rd, Orangeburg, NY 10962-1157.
- What is Mavis Jackson's phone number?
- The practice phone number listed in the NPPES registry for Mavis Jackson is (845) 680-7800.
- Is Mavis Jackson's NPI active?
- Yes — Mavis Jackson's NPI (1083455315) is active in the NPPES registry as of the last update on 2024-06-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.