Jackson Professional Associates LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

JACKSON PROFESSIONAL ASSOCIATES LLC

Practice address

2619 Pot Spring Rd
Timonium, MD 21093-2733

Phone

(818) 324-8644

NPI assigned

Jan 19, 2026

Organization subpart

No

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

Authorized official

Name

Dr. Timothy Jack

Title

Owner

Phone

(818) 324-8644

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.

• Timothy Jack, MD

  • Psychiatry Physician
  • Baltimore, MD
  • NPI 1891949723
  NPD

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

{
    "created_epoch": "1768780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768780800000",
    "number": "1376402024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2619 POT SPRING RD",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210932733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2619 POT SPRING RD",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210932733",
            "telephone_number": "818-324-8644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON PROFESSIONAL ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-19",
        "last_updated": "2026-01-19",
        "certification_date": "2026-01-19",
        "status": "A",
        "authorized_official_last_name": "JACK",
        "authorized_official_first_name": "DR. TIMOTHY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-324-8644"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ideal Pain Management, LLC
• Infinity Coune
• Tamara A Irby, P.T.
• Micaela Itter
• Mohammad - Izadidehkordi, D.D.S
• Brenda Jackson, OT
• Shakira Jackson
• Mirasol Ame Jacobs, DPT
• Susannah Jo Jane, DPT
• Alexander Arthur Jasion, LGPC

• Psychiatry Physician in Timonium, MD
• Providers in Timonium, MD by specialty
• Psychiatry Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.

Verify at the official NPI Registry.