IndividualActive
Anthony Jackson, MD
NPI 1396838868 · Child & Adolescent Psychiatry Physician · Needham, MA
Provider details
- NPI number
- 1396838868
- Entity type
- Individual
- Primary specialty
- Child & Adolescent Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 34567 (MA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
31 Woodlawn Avenue
Needham, MA 02492
Phone: (508) 977-3481
Fax: (781) 449-2787
Approximate (ZIP-level) locationGet directions
Mailing address
31 Woodlawn Avenue
Needham, MA 02492
Registry dates
- Enumerated
- 2006-10-02
- Last updated
- 2021-11-02
- Certified
- 2021-11-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.