What is Moss Jackson's NPI number?

Moss Jackson's National Provider Identifier (NPI) is 1083811012, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Moss Jackson's specialty?

Moss Jackson is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).

Where is Moss Jackson located?

Moss Jackson's practice location on file with NPPES is 125 Coulter Ave, Ardmore, PA 19003.

What is Moss Jackson's phone number?

The practice phone number listed in the NPPES registry for Moss Jackson is (610) 642-4873.

Is Moss Jackson's NPI active?

Yes — Moss Jackson's NPI (1083811012) is active in the NPPES registry as of the last update on 2007-07-08.

IndividualActive

Moss Jackson, PHD

NPI 1083811012 · Clinical Psychologist · Ardmore, PA

Moss Jackson, PHD is a Clinical Psychologist provider in Ardmore, PA (NPI 1083811012).

Provider details

NPI number: 1083811012
Entity type: Individual
Primary specialty: Clinical PsychologistBehavioral Health & Social Service Providers
Credential: PHD
Sex: Male
Sole proprietor: No
License: PS362 (PA)

Specialties & taxonomies

Clinical PsychologistPrimary103TC0700XLicense PS362 (PA)
Behavioral Health & Social Service Providers

Profile Score

Detailed profile(89/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
18 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

125 Coulter Ave

Ardmore, PA 19003

Phone: (610) 642-4873

Fax: (610) 642-4886

Street-level locationGet directions

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Mailing address