Julie Heim Jackson, PHD, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

9213 Issued in MA

Legal business name

JULIE HEIM JACKSON, PHD, LLC

Practice address

175 Littleton Rd Ste 8
Westford, MA 01886-3120

Phone

(617) 538-6856

NPI assigned

Jul 5, 2016

Last updated

Jul 5, 2016By 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

Julie Heim Jackson, PHDNPI 1669677050

Title

Psychologist/ Owner

Phone

(617) 538-6856

Specialties & licenses 2

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.

• Julie Heim Jackson, PHD

  • Clinical Psychologist
  • Concord, MA
  • NPI 1669677050
  Authorized official Same address or phone

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

{
    "created_epoch": "1467676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467676800000",
    "number": "1821440637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 BIGELOW DR",
            "city": "SUDBURY",
            "state": "MA",
            "postal_code": "017763216",
            "telephone_number": "617-538-6856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 LITTLETON RD STE 8",
            "city": "WESTFORD",
            "state": "MA",
            "postal_code": "018863120",
            "telephone_number": "617-538-6856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIE HEIM JACKSON, PHD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-05",
        "last_updated": "2016-07-05",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "HEIM",
        "authorized_official_title_or_position": "PSYCHOLOGIST/ OWNER",
        "authorized_official_telephone_number": "617-538-6856",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "9213",
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "MA",
            "license": "9213",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eliza Ann Auerbach Jones, M.D.
• Janine Renee Jones, NP
• Molly Jones
• Susan S Jones, LMHC
• Juliana S Pires PLLC (Birch Grove Mental Health)
• Lisa Eila Jurmu, DC
• Susan M Jussaume, FNP
• Kam Dental Associates Inc.
• Frank Shing Fai Kam, DMD
• Victoria Bengson Kam, DMD

• Clinical Psychologist in Westford, MA
• Providers in Westford, MA by specialty
• Clinical Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2016; 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.