Active NPI
Rolanda McCray Jackson
- Intellectual & Developmental Disabilities Psychologist
- Quincy, FL
National Provider Identifier
1245178664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual & Developmental Disabilities Psychologist
- Practice address
- 1735 Elm St
Quincy, FL 32351-3519 - Phone
- (850) 694-8536
- NPI assigned
- Mar 24, 2026
- Last updated
- Mar 24, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual & Developmental Disabilities Psychologist | 103TM1800X | Primary |
Addresses
Primary practice location
1735 Elm St
Quincy, FL 32351-3519
Mailing address
2480 Bainbridge Hwy
Quincy, FL 32352-7010
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1774310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774310400000",
"number": "1245178664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2480 BAINBRIDGE HWY",
"city": "QUINCY",
"state": "FL",
"postal_code": "323527010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1735 ELM ST",
"city": "QUINCY",
"state": "FL",
"postal_code": "323513519",
"telephone_number": "850-694-8536"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "ROLANDA",
"middle_name": "MCCRAY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-03-24",
"last_updated": "2026-03-24",
"certification_date": "2026-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "103TM1800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Intellectual & Developmental Disabilities",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Quincy, FL
- Integrated Regional Laboratories Pathology Services, LLC
- Daniella Itzhak, OTR/L
- Shareda L Jackson-Safford, RN
- Demetrice Jackson, RN
- Quineldra Shavone Jackson
- Jacksonville Emergency Consultants PA
- James a Stephens, OD & Associates PA
- Eve Ann James-Wilson
- Jenn Denise Transportation LLC
- Ambrica Johnson
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.