Marilyn Jackson LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

MARILYN JACKSON LLC

Practice address

10 South St Ste 205
Ridgefield, CT 06877-4125

Phone

(203) 212-9284

NPI assigned

Jan 25, 2022

Last updated

Jan 25, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Marilyn Jackson, L.AC.NPI 1386143840

Title

Owner, Acupuncturist

Phone

(203) 212-9284

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marilyn Jackson, LAC

  • Acupuncturist
  • Los Angeles, CA
  • NPI 1386143840
  NPD Authorized official

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

{
    "created_epoch": "1643068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643068800000",
    "number": "1235881814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 SOUTH ST STE 205",
            "city": "RIDGEFIELD",
            "state": "CT",
            "postal_code": "068774125",
            "telephone_number": "203-212-9284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 SOUTH ST STE 205",
            "city": "RIDGEFIELD",
            "state": "CT",
            "postal_code": "068774125",
            "telephone_number": "203-212-9284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARILYN JACKSON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-25",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-24",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_title_or_position": "OWNER, ACUPUNCTURIST",
        "authorized_official_telephone_number": "203-212-9284",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crystal B. Madyda, P.T.
• Deanna J. Maggiulli, O.D.
• Carol T Mahlstedt, PSY.D
• Wendy Maki, MD
• Susan S Malley, MD
• Rocco F Marotta, MD
• Jay W Martin, D.D.S.
• Maria Mascardo, MD
• Renato Nadal Mascardo, MD, PC
• Christopher Charles Mascetta, DC

• Health Service Clinic/Center in Ridgefield, CT
• Providers in Ridgefield, CT by specialty
• Health Service Clinic/Center in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; 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.