Active NPI
Christopher Ezekiel Jackson, MD
- Psychiatry Physician
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- D0094354
- Practice address
- 2232 E Monument St
Baltimore, MD 21205-2431 - Phone
- (667) 207-3552
- Fax
- (443) 885-9778
- NPI assigned
- May 4, 2016
- Last updated
- Mar 9, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | D0094354 | MD | Primary |
| Psychiatry Physician | 2084P0800X | 0101271955 | VA | |
| Psychiatry Physician | 2084P0800X | MD210003060 | DC | |
| Psychiatry Physician | 2084P0800X | 25IA12466800 | NJ | |
| Psychiatry Physician | 2084P0800X | 50004 | AL |
Addresses
Primary practice location
2232 E Monument St
Baltimore, MD 21205-2431
Mailing address
2800 Eisenhower Ave Ste 220
Alexandria, VA 22314-4587
Phone (301) 246-2586
Other practice location 1
8258 Veterans Hwy Ste 13
Millersville, MD 21108-1564
Phone (410) 757-2077
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, MD, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Howard University College of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11315 Pembrooke SQ
Suite 112a
Waldorf, MD 20603-4806
Phone (850) 377-5389
1776 Cambridge Dr
Richmond, VA 23238-3203
Phone (804) 740-6174
2232 E Monument St
Baltimore, MD 21205-2431
Phone (667) 207-3552
3210 Powder Mill Rd
Hyattsville, MD 20783-1029
Phone (301) 937-3939
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50004 | AL | MD | Psychiatry Physician |
| MD210003060 | DC | MD | Psychiatry Physician |
| D0094354 | MD | MD | Psychiatry Physician |
| 25IA12466800 | NJ | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spiritual Healing | Current | Accepting new patients | |
| Arundel Mental Health Professionals L.C. | Current | Accepting new patients | |
| Lca Psychological Associates, LLC | Current | Accepting new patients | |
| Empathy Wellness Center | Psychiatry | Current | Accepting new patients |
| Integrahealth LLC | Current | Accepting new patients | |
| Toller Enterprises LLC | Current | Accepting new patients | |
| Toller Enterprises LLC | Current | Accepting new patients | |
| Psych Associates of Maryland LLC | Psychiatry | Current | Accepting new patients |
| Integrahealth LLC | Psychiatry | Current | Accepting new patients |
| Neta, Inc. | Past | Accepting new patients | |
| Lca Psychological Associates, LLC | Past | Accepting new patients |
Locations
1500 K St NW
Ste 200
Washington, DC 20005
Phone (667) 207-3552
1831 Forest Dr
Ste A
Annapolis, MD 21401
Phone (410) 268-9400
10 N Rock Glen Rd
Baltimore, MD 21229
Phone (410) 646-2100
2232 E Monument St
Baltimore, MD 21205
Phone (667) 207-3552
821 N Charles St
Baltimore, MD 21201
Phone (443) 452-9612
4520 East West Hwy
Ste 775
Bethesda, MD 20814
Phone (240) 531-2799
604 S Frederick Ave
Ste 211
Gaithersburg, MD 20877
Phone (301) 330-6470
3210 Powder Mill Rd
Hyattsville, MD 20783
Phone (301) 937-3939
8258 Veterans Hwy
Ste 13
Millersville, MD 21108
Phone (410) 768-6088
9722 Groffs Mill Dr
Owings Mills, MD 21117
Phone (410) 205-9255
200 Civic Ave
Salisbury, MD 21804
Phone (410) 749-1466
2331 York Rd
Ste 100
Timonium, MD 21093
120 Sister Pierre Dr
Ste 403
Towson, MD 21204
Phone 4108236408104
11315 Pembrooke Sq
Ste 112A
Waldorf, MD 20603
Phone (301) 645-2233
2800 Eisenhower Ave
Ste 220
Alexandria, VA 22314
Phone (540) 358-0423
801 N Quincy St
Ste 601
Arlington, VA 22203
Phone (667) 220-8067
1776 Cambridge Dr
Richmond, VA 23238
Phone (804) 368-6474
7700 E Parham Rd
Richmond, VA 23294
Phone (804) 289-4852
Interoperability endpoints
- christopher.jackson.13@33593.direct.athenahealth.com
Organizations & group practices 12
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.
-
dba Mackenzie Counseling and Consultation Services
- Psychiatry Physician
- Waldorf, MD
- NPI 1285953380
-
dba Brighter Days Recovery Center
- Psychiatric/Mental Health Nurse Practitioner
- Baltimore, MD
- NPI 1821697533
DC, VA
-
dba LifeStance Health
- Clinical Psychologist
- Arnold, MD
- NPI 1073649521
-
- Psychiatric/Mental Health Nurse Practitioner
- Baltimore, MD
- NPI 1740049568
-
- Psychiatric/Mental Health Nurse Practitioner
- Baltimore, MD
- NPI 1932968856
Psychiatry, VA
-
dba Bloom Health Centers
- Psychologist
- Timonium, MD
- NPI 1891721981
DC, Psychiatry, VA
-
- Psychiatry Physician
- Alexandria, VA
- NPI 1528864881
-
dba Brighter Days Recovery Center
- Pain Management Registered Nurse
- Baltimore, MD
- NPI 1821694084
-
dba Mackenzie Counseling and Consultation Services
- Clinical Psychologist
- Laurel, MD
- NPI 1679972855
-
- Child & Adolescent Psychiatry Physician
- Arlington, VA
- NPI 1134506520
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773014400000",
"number": "1881040277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2800 EISENHOWER AVE STE 220",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223144587",
"telephone_number": "301-246-2586"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2232 E MONUMENT ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212052431",
"telephone_number": "667-207-3552",
"fax_number": "443-885-9778"
}
],
"practiceLocations": [
{
"address_1": "8258 Veterans Hwy Ste 13",
"address_purpose": "LOCATION",
"city": "Millersville",
"state": "MD",
"postal_code": "211081564",
"country_code": "US",
"telephone_number": "410-757-2077",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JACKSON",
"first_name": "CHRISTOPHER",
"middle_name": "EZEKIEL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-05-04",
"last_updated": "2026-03-09",
"certification_date": "2026-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MD",
"license": "D0094354",
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "VA",
"license": "0101271955",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "DC",
"license": "MD210003060",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NJ",
"license": "25IA12466800",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "AL",
"license": "50004",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.