Matthew Jackson
NPI 1952794570 · Clinical Psychologist · South Bend, IN
Enrolled with Medicare as Practitioner - Clinical Psychologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Matthew Jackson is a Clinical Psychologist provider in South Bend, IN (NPI 1952794570).
Provider details
- NPI number
- 1952794570
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 20042961A (IN)
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
11 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
- 2015-03-06
- Last updated
- 2023-05-01
- Certified
- 2023-05-01
Frequently asked questions
- What is Matthew Jackson's NPI number?
- Matthew Jackson's National Provider Identifier (NPI) is 1952794570, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Matthew Jackson's specialty?
- Matthew Jackson is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Matthew Jackson located?
- Matthew Jackson's practice location on file with NPPES is 714 N Michigan St, South Bend, IN 46601-1035.
- What is Matthew Jackson's phone number?
- The practice phone number listed in the NPPES registry for Matthew Jackson is (574) 647-7477.
- Does Matthew Jackson accept Medicare?
- Matthew Jackson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Matthew Jackson's NPI active?
- Yes — Matthew Jackson's NPI (1952794570) is active in the NPPES registry as of the last update on 2023-05-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.