Shannon Jackson, PSY.D.
NPI 1417281064 · Clinical Psychologist · Manchester, CT
Shannon Jackson, PSY.D. is a Clinical Psychologist provider in Manchester, CT (NPI 1417281064).
Provider details
- NPI number
- 1417281064
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PSY.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 00297 (CT)
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
16 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
- 2009-09-30
- Last updated
- 2009-09-30
Frequently asked questions
- What is Shannon Jackson's NPI number?
- Shannon Jackson's National Provider Identifier (NPI) is 1417281064, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shannon Jackson's specialty?
- Shannon Jackson is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Shannon Jackson located?
- Shannon Jackson's practice location on file with NPPES is 150 North Main St, Manchester, CT 06040-4188.
- What is Shannon Jackson's phone number?
- The practice phone number listed in the NPPES registry for Shannon Jackson is (860) 647-6832.
- Is Shannon Jackson's NPI active?
- Yes — Shannon Jackson's NPI (1417281064) is active in the NPPES registry as of the last update on 2009-09-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.