Jackosky Health Inc

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

35075326 Issued in OH

Legal business name

JACKOSKY HEALTH INC

Practice address

30400 Detroit Rd Ste 404
Westlake, OH 44145-1855

Phone

(440) 250-2130

Fax

(440) 250-2140

NPI assigned

Aug 30, 2010

Organization subpart

No

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

Authorized official

Name

Catherine Jackosky, M.D.

Title

Owner

Phone

(440) 250-2130

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1283126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283126400000",
    "number": "1841506763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30400 DETROIT RD STE 404",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441451855",
            "telephone_number": "440-250-2130",
            "fax_number": "440-250-2140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30400 DETROIT RD STE 404",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441451855",
            "telephone_number": "440-250-2130",
            "fax_number": "440-250-2140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKOSKY HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-30",
        "last_updated": "2010-08-30",
        "status": "A",
        "authorized_official_last_name": "JACKOSKY",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-250-2130",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "OH",
            "license": "35075326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Muhammad Islam
• Khaled Issa
• McKenzie Sierra Ives
• Dunya Iwais, RBT
• Sarah Christine Jablonski, LISW-S
• Allana Michelle Jackson, OTR/L
• Anne Marie Jackson, PT, DPT
• Marti Jacobson, RDN, LD
• Hamzeh Jajeh, DO
• Jamal Jeter DPM LLC

• Child & Adolescent Psychiatry Physician in Westlake, OH
• Providers in Westlake, OH by specialty
• Child & Adolescent Psychiatry Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2010; 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.