Sarah Jackson, MFA, MA, LP

Primary specialty

PsychoanalystTaxonomy code 102L00000X

License

000937-1 Issued in NY

Practice address

500 Main St.
Suite 5
Great Barrington, MA 01230

Phone

(413) 429-7475

NPI assigned

Jun 17, 2019

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts, Master of Fine Arts

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 17, 2019.

{
    "created_epoch": "1560729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560729600000",
    "number": "1831759455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 MAIN ST.",
            "address_2": "SUITE 5",
            "city": "GREAT BARRINGTON",
            "state": "MA",
            "postal_code": "01230",
            "telephone_number": "413-429-7475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 MAIN ST.",
            "address_2": "SUITE 5",
            "city": "GREAT BARRINGTON",
            "state": "MA",
            "postal_code": "01230",
            "telephone_number": "413-429-7475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "SARAH",
        "name_prefix": "Ms.",
        "credential": "MFA, MA, LP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-17",
        "last_updated": "2019-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "102L00000X",
            "taxonomy_group": "",
            "desc": "Psychoanalyst",
            "state": "NY",
            "license": "000937-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Inglis Wellness Clinic PLLC
• Alan Inglis, MD
• Innovative Therapy Solutions
• Invivo Institute Research Foundation Inc.
• Linda J Jackson, LIC. AC.
• William Bradley Jackson, PTA
• Donna Withee Jacobs, LICSW
• Jay B Kain Physical Therapy
• Amy Jenter
• Gregory W Johns, RPH

• All providers in Great Barrington, MA
• Psychoanalyst in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2019; 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.