NPIMap

Organization Active NPI

Jackson Behavioral Services

  • Medical Specialty Clinic/Center
  • Jackson, MI
National Provider Identifier
1306957444
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
4301044183 Issued in MI
Legal business name
JACKSON BEHAVIORAL SERVICES
Practice address
209 E Washington Ave
Suite 221
Jackson, MI 49201-2393
Phone
(517) 780-0809
Fax
(517) 788-5922
NPI assigned
Aug 31, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mr. Bradley L Schweda, LLP
Title
Psychologist
Phone
(517) 780-0809

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X 4301044183 MI
Medical Specialty Clinic/Center 261QM2500X 4301044183 MI Primary
Clinical Psychologist 103TC0700X 6301010119 MI
Clinical Psychologist 103TC0700X 6302006268 MI

Addresses

Primary practice location

209 E Washington Ave
Suite 221
Jackson, MI 49201-2393

Mailing address

209 E Washington Ave
Suite 221
Jackson, MI 49201-2393
Phone (517) 780-0809

National Provider Directory

National Provider Directory

Locations

209 E Washington Ave
Ste 221
Jackson, MI 49201
Phone (517) 780-0809

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1306957444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 E WASHINGTON AVE",
            "address_2": "SUITE 221",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492012393",
            "telephone_number": "517-780-0809",
            "fax_number": "517-788-5922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 E WASHINGTON AVE",
            "address_2": "SUITE 221",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492012393",
            "telephone_number": "517-780-0809",
            "fax_number": "517-788-5922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON BEHAVIORAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "SCHWEDA",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "517-780-0809",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LLP"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "MI",
            "license": "4301044183",
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "MI",
            "license": "4301044183",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301010119",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6302006268",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.