IndividualActive
Erin Jackson, PHD
NPI 1407929151 · Psychologist · Huntersville, NC
Provider details
- NPI number
- 1407929151
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Credential
- PHD
- Sex
- Female
- Sole proprietor
- Yes
- License
- 4147 (NC)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(90/100 index)
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
11330 Vanstory Dr Ste 109f
Huntersville, NC 28078-8146
Phone: (980) 705-4122
Street-level locationGet directions
Mailing address
4030 Wake Forest Rd Ste 349
Raleigh, NC 27609-0010
Registry dates
- Enumerated
- 2006-11-17
- Last updated
- 2024-11-19
- Certified
- 2024-11-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.