JANISSA D JACKSON PHD PLLC
JANISSA D JACKSON PHD PLLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1871762476, based in Fayetteville, AR. The organization lists 2 taxonomy classifications, with Clinical Child & Adolescent Psychologist recorded as primary.
Getting there
The practice address on file is 1 W SUNBRIDGE DR, Fayetteville, AR 72703. 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 |
|---|---|---|
| 07-01P | AR | Clinical Psychologist |
| 07-01P | AR | Clinical Child & Adolescent Psychologist primary |
This provider holds licence 07-01P issued in AR. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
What Clinical Child & Adolescent covers
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents. NUCC Health Care Provider Taxonomy, code 103TC2200X
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 | 07-01P | AR | |
| 103TC2200X | Clinical Child & Adolescent Psychologist Clinical Child & Adolescent | 07-01P | AR | primary |
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-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1871762476 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Feb 27, 2008 |
| Last updated | Feb 27, 2008 |
| Status | Active |
| Practice address |
1 W SUNBRIDGE DR Fayetteville, AR 72703 (479) 443-5575 Fax (479) 443-9554 |
| Other names |
Janissa D Jackson Phd Former Legal Name |
| Other identifiers |
5A252
· Other (AR) |
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 | 8 | 7 | 1 | 7 | 6 | 2 | 4 | 7 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 8 | 5 | 1 | 5 | 6 | 4 | 4 | 5 |
Sum = 64 · next multiple of 10 = 70 · check digit = 6 · actual last digit = 6
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.