Vickie Jackson, PH.D., Inc

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

VICKIE JACKSON, PH.D., INC

Practice address

325 E Sonterra Blvd
230
San Antonio, TX 78258-4054

Phone

(210) 632-6652

NPI assigned

Jul 5, 2012

Organization subpart

No

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

Authorized official

Name

Vickie JacksonNPI 1588675540

Title

Owner

Phone

(210) 632-6652

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vickie Jackson, PH.D.

  • Psychologist
  • Houston, TX
  • NPI 1588675540
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1341446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341446400000",
    "number": "1194080200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 E SONTERRA BLVD",
            "address_2": "230",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 E SONTERRA BLVD",
            "address_2": "230",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584054",
            "telephone_number": "210-632-6652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICKIE JACKSON, PH.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-05",
        "last_updated": "2012-07-05",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "VICKIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-632-6652"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chanda Vickers
• Katherine Vickers, FNP
• Victoria A. Vickers, DDS
• Stanley Banks Vickhouse, PHARMD
• Vicki J Sparks, MD, PC
• Jacquelyn F Vickrey, MD
• Victor a Estrada MD PA
• Victor F. Alvarado
• Victor I Lyday MD PA
• Neyda Victorero, PSYD

• Psychologist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.