Organization Active NPI

Jackson Psychiatric Care, LLC

Doing business as Onward Psychiatric Care

  • Psychiatric/Mental Health Nurse Practitioner
  • Norwood, MA
National Provider Identifier
1851038160
Registry record updated Apr 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
JACKSON PSYCHIATRIC CARE, LLC
Doing business as
Onward Psychiatric Care
Practice address
1 Walpole St Ste 2
Norwood, MA 02062-3315
Phone
(617) 958-6036
Fax
(617) 360-3002
NPI assigned
May 18, 2022
Last updated
Apr 16, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2023

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

Authorized official

Name
Ms. Hannah Jackson, PMHNP-BC
Title
Ceo/Founder
Phone
(607) 280-8280

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X Primary

Addresses

Primary practice location

1 Walpole St Ste 2
Norwood, MA 02062-3315

Mailing address

1 Walpole St Ste 2
Norwood, MA 02062-3315
Phone (617) 958-6036

Other names 1

  • Onward Psychiatric Care Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Kareo Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1652832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681603200000",
    "number": "1851038160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 WALPOLE ST STE 2",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020623315",
            "telephone_number": "617-958-6036",
            "fax_number": "617-360-3002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WALPOLE ST STE 2",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020623315",
            "telephone_number": "617-958-6036",
            "fax_number": "617-360-3002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON PSYCHIATRIC CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-18",
        "last_updated": "2023-04-16",
        "certification_date": "2023-04-16",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "HANNAH",
        "authorized_official_title_or_position": "CEO/FOUNDER",
        "authorized_official_telephone_number": "607-280-8280",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Kareo",
            "affiliation": "N",
            "endpointDescription": "Electronic medical record",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EMR",
            "address_1": "10 Running Brook Rd",
            "city": "West Roxbury",
            "state": "MA",
            "country_code": "US",
            "postal_code": "021324706",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Onward Psychiatric Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Onward Psychiatric Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Norwood, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2023; 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.