OrganizationActive
Jackson Clinic LLC
NPI 1235873811 · Psychiatry Physician · Lexington, MA
Jackson Clinic LLC is a Psychiatry Physician organization in Lexington, MA (NPI 1235873811).
Provider details
- NPI number
- 1235873811
- Entity type
- Organization
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Annise Jackson, Ceo(781) 825-5390
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
33 Bedford St Ste 11
Lexington, MA 02420-4403
Phone: (781) 825-5390
Street-level locationGet directions
Mailing address
20 2nd Ave Apt 512
Burlington, MA 01803-4463
Registry dates
- Enumerated
- 2022-04-21
- Last updated
- 2022-04-21
- Certified
- 2022-04-21
Frequently asked questions
- What is Jackson Clinic LLC's NPI number?
- Jackson Clinic LLC's National Provider Identifier (NPI) is 1235873811, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jackson Clinic LLC?
- Jackson Clinic LLC is classified in the NPPES registry as Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Jackson Clinic LLC located?
- Jackson Clinic LLC's practice location on file with NPPES is 33 Bedford St Ste 11, Lexington, MA 02420-4403.
- What is Jackson Clinic LLC's phone number?
- The practice phone number listed in the NPPES registry for Jackson Clinic LLC is (781) 825-5390.
- Who is the authorized official for Jackson Clinic LLC?
- The authorized official listed on Jackson Clinic LLC's NPPES record is Annise Jackson, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jackson Clinic LLC's NPI active?
- Yes — Jackson Clinic LLC's NPI (1235873811) is active in the NPPES registry as of the last update on 2022-04-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.