Dr. Edward L Jackson Psyd PLLC
NPI 1669156998 · Psychologist · Commerce Twp, MI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Dr. Edward L Jackson Psyd PLLC is a Psychologist organization in Commerce Twp, MI (NPI 1669156998).
Provider details
- NPI number
- 1669156998
- Entity type
- Organization
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Stephanie Budry, Admin(248) 376-2406
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
3 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
- 2023-06-15
- Last updated
- 2025-11-16
- Certified
- 2025-11-16
Frequently asked questions
- What is Dr. Edward L Jackson Psyd PLLC's NPI number?
- Dr. Edward L Jackson Psyd PLLC's National Provider Identifier (NPI) is 1669156998, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Dr. Edward L Jackson Psyd PLLC?
- Dr. Edward L Jackson Psyd PLLC is classified in the NPPES registry as Psychologist (Behavioral Health & Social Service Providers).
- Where is Dr. Edward L Jackson Psyd PLLC located?
- Dr. Edward L Jackson Psyd PLLC's practice location on file with NPPES is 2900 Welch Rd, Commerce Twp, MI 48390-1562.
- What is Dr. Edward L Jackson Psyd PLLC's phone number?
- The practice phone number listed in the NPPES registry for Dr. Edward L Jackson Psyd PLLC is (248) 767-7927.
- Does Dr. Edward L Jackson Psyd PLLC accept Medicare?
- Dr. Edward L Jackson Psyd PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Dr. Edward L Jackson Psyd PLLC?
- The authorized official listed on Dr. Edward L Jackson Psyd PLLC's NPPES record is Stephanie Budry, Admin. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Dr. Edward L Jackson Psyd PLLC's NPI active?
- Yes — Dr. Edward L Jackson Psyd PLLC's NPI (1669156998) is active in the NPPES registry as of the last update on 2025-11-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.