Russell Jackson, PHD
NPI 1598426884 · Group Psychotherapy Psychologist · Columbia, MO
Provider details
- NPI number
- 1598426884
- Entity type
- Individual
- Primary specialty
- Group Psychotherapy PsychologistBehavioral Health & Social Service Providers
- Credential
- PHD
- Sex
- Male
- Sole proprietor
- No
- License
- 2021011992 (MO)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
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
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Additional practice locations (1)
- 211 S 8th StColumbia, MO 65201-4868Phone: (573) 882-4677Fax: (573) 882-4583
Registry dates
- Enumerated
- 2022-01-07
- Last updated
- 2025-09-29
- Certified
- 2025-09-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.