Individual provider Active NPI

David E. Pickering, PH.D.

  • Clinical Psychologist
  • Jackson, TN
National Provider Identifier
1578569604
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
P-1223 Issued in TN
Practice address
367B N Parkway
Ste 1
Jackson, TN 38305-2899
Phone
(731) 668-2277
Fax
(731) 660-0510
NPI assigned
Jun 23, 2005
Last updated
Jun 8, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X P-1223 TN Primary

Addresses

Primary practice location

367B N Parkway
Ste 1
Jackson, TN 38305-2899

Mailing address

78 Chip Oak Dr
Medon, TN 38356-8128
Phone (731) 668-2277

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080508000080 TN Practitioner - Clinical Psychologist 3375622988 Practice locations: Jackson, TN

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Memphis Hospital Medical College, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

367 B N Pkwy
Suite 1
Jackson, TN 38305-2899
Phone (731) 668-2277

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
P-1223TNMDClinical Psychologist
1223TNMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Paradigm Health Services, Inc Past Accepting new patients
David Pickering Clinical PastSince Jan 1, 1990 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780876800000",
    "number": "1578569604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 CHIP OAK DR",
            "city": "MEDON",
            "state": "TN",
            "postal_code": "383568128",
            "telephone_number": "731-668-2277",
            "fax_number": "731-660-0510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "367B N PARKWAY",
            "address_2": "STE 1",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383052899",
            "telephone_number": "731-668-2277",
            "fax_number": "731-660-0510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICKERING",
        "first_name": "DAVID",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-23",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TN",
            "license": "P-1223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, TN

Sources for this page

Verify at the official NPI Registry.