Joann Jackson, PSY.D.
NPI 1194739904 · Psychologist · South Bend, IN
Enrolled with Medicare as Practitioner - Clinical Psychologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Joann Jackson, PSY.D. is a Psychologist provider in South Bend, IN (NPI 1194739904).
Provider details
- NPI number
- 1194739904
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Credential
- PSY.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 20040982A (IN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
- 2006-07-28
- Last updated
- 2010-09-27
Frequently asked questions
- What is Joann Jackson's NPI number?
- Joann Jackson's National Provider Identifier (NPI) is 1194739904, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Joann Jackson's specialty?
- Joann Jackson is listed in the NPPES registry with a primary specialty of Psychologist (Behavioral Health & Social Service Providers).
- Where is Joann Jackson located?
- Joann Jackson's practice location on file with NPPES is 403 E Madison St, South Bend, IN 46617-2322.
- What is Joann Jackson's phone number?
- The practice phone number listed in the NPPES registry for Joann Jackson is (574) 533-1234.
- Does Joann Jackson accept Medicare?
- Joann Jackson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Joann Jackson's NPI active?
- Yes — Joann Jackson's NPI (1194739904) is active in the NPPES registry as of the last update on 2010-09-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.