Christian Record-jackson, PSY 0810008030
Christian Record-jackson, PSY 0810008030 is a Clinical Psychologist in Jbsa Lackland, TX, registered under NPI 1407344518. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.
Getting there
The practice address on file is 1100 WILFORD HALL LOOP, Jbsa Lackland, TX 78236. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 0810008030 | VA | Clinical Psychologist primary |
| 105956 | CA | Professional Counselor |
Licences are recorded in 2 states: VA, CA. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.
- Status
- Approved
- Provider type
- Order And Referring Only - Clinical Psychologist
- PAC ID
- 5193261204
- Enrollment ID
- I20240725001587
Medicare enrolment is recorded as approved under the provider type Order And Referring Only - Clinical Psychologist. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
Licensed in 2 states
This provider holds licences in 2 states: California and Virginia. Multi-state licensure often means the provider works near a state border, covers more than one office, or delivers care by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.
Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.
What Clinical covers
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. NUCC Health Care Provider Taxonomy, code 103TC0700X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 103TC0700X | Clinical Psychologist Clinical | 0810008030 | VA | primary |
| 101YP2500X | Professional Counselor Professional | 105956 | CA |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1407344518 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Apr 24, 2018 |
| Last updated | May 18, 2026 |
| Status | Active |
| Sole proprietor | No |
| Credential | PSY 0810008030 |
| Practice address |
1100 WILFORD HALL LOOP Jbsa Lackland, TX 78236 (210) 292-6255 Fax (210) 292-7934 |
| Mailing address |
3905 26TH ST Chesapeake Beach, MD 20732 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 4 | 0 | 7 | 3 | 4 | 4 | 5 | 1 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 4 | 0 | 7 | 6 | 4 | 8 | 5 | 2 |
Sum = 62 · next multiple of 10 = 70 · check digit = 8 · actual last digit = 8
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.