IndividualActive
Jared Jackson, PH.D.
NPI 1902184732 · Psychologist · Fort Campbell, KY
Jared Jackson, PH.D. is a Psychologist provider in Fort Campbell, KY (NPI 1902184732).
Provider details
- NPI number
- 1902184732
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 1690 (AL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
6102 Tennessee Ave
Fort Campbell, KY 42223-5940
Phone: (909) 810-7332
Approximate (ZIP-level) locationGet directions
Mailing address
Bldg 6102 Tennessee
Fort Campbell, KY 42223
Registry dates
- Enumerated
- 2011-07-27
- Last updated
- 2025-05-08
- Certified
- 2025-04-28
Frequently asked questions
- What is Jared Jackson's NPI number?
- Jared Jackson's National Provider Identifier (NPI) is 1902184732, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jared Jackson's specialty?
- Jared Jackson is listed in the NPPES registry with a primary specialty of Psychologist (Behavioral Health & Social Service Providers).
- Where is Jared Jackson located?
- Jared Jackson's practice location on file with NPPES is 6102 Tennessee Ave, Fort Campbell, KY 42223-5940.
- What is Jared Jackson's phone number?
- The practice phone number listed in the NPPES registry for Jared Jackson is (909) 810-7332.
- Is Jared Jackson's NPI active?
- Yes — Jared Jackson's NPI (1902184732) is active in the NPPES registry as of the last update on 2025-05-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.