Sharon S. Jacksi, PH.D,

Primary specialty

Intellectual & Developmental Disabilities PsychologistTaxonomy code 103TM1800X

License

769 Issued in CO

Practice address

486 Tiara Dr
Grand Junction, CO 81507-8717

Phone

(720) 272-1066

NPI assigned

Jun 6, 2011

Last updated

Jun 6, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1307318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307318400000",
    "number": "1083908180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "486 TIARA DR",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815078717",
            "telephone_number": "720-272-1066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "486 TIARA DR",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815078717",
            "telephone_number": "720-272-1066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSI",
        "first_name": "SHARON",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "PH.D,",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-06",
        "last_updated": "2011-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "CO",
            "license": "769",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "769",
            "primary": false
        },
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "CO",
            "license": "769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie L Ivey, LPC
• Nicole Lynn Izatt
• J Christopher Young PHD PC
• Ryan Jackman, M.D.
• Elizabeth Dawn Jacks
• Brett Taylor Jackson
• Kiana Nicole Jackson
• Mary Jackson, LCPC, LCAC, LPC
• Whitney Jackson
• David Orlan Jacobson, DDS

• Intellectual & Developmental Disabilities Psychologist in Grand Junction, CO
• Providers in Grand Junction, CO by specialty
• Intellectual & Developmental Disabilities Psychologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.