Tammy Jackson, PH.D.
NPI 1619958758 · Adult Development & Aging Psychologist · College Station, TX
Enrolled with Medicare as Practitioner - Clinical Psychologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Tammy Jackson, PH.D. is a Adult Development & Aging Psychologist provider in College Station, TX (NPI 1619958758).
Provider details
- NPI number
- 1619958758
- Entity type
- Individual
- Primary specialty
- Adult Development & Aging PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 31418 (TX)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
- Counseling Psychologist103TC1900X
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
20 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
- 2005-11-07
- Last updated
- 2023-08-25
- Certified
- 2023-08-25
Frequently asked questions
- What is Tammy Jackson's NPI number?
- Tammy Jackson's National Provider Identifier (NPI) is 1619958758, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tammy Jackson's specialty?
- Tammy Jackson is listed in the NPPES registry with a primary specialty of Adult Development & Aging Psychologist (Behavioral Health & Social Service Providers).
- Where is Tammy Jackson located?
- Tammy Jackson's practice location on file with NPPES is 1014 Sun Meadow Ct, College Station, TX 77845-7291.
- What is Tammy Jackson's phone number?
- The practice phone number listed in the NPPES registry for Tammy Jackson is (979) 217-1311.
- Does Tammy Jackson accept Medicare?
- Tammy Jackson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Tammy Jackson's NPI active?
- Yes — Tammy Jackson's NPI (1619958758) is active in the NPPES registry as of the last update on 2023-08-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.