Individual provider Active NPI

Christopher Ezekiel Jackson, MD

  • Psychiatry Physician
  • Baltimore, MD
National Provider Identifier
1881040277
Registry record updated Mar 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
D0094354 Issued in MD
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, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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, VA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20221219000367 DC Practitioner - Psychiatry 7012206402 Reassigns benefits to 4 organizations
I20230619000614 MD Practitioner - Psychiatry 7012206402 Reassigns benefits to 6 organizations
I20230920000897 VA Practitioner - Psychiatry 7012206402 Reassigns benefits to 3 organizations

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
Lca Psychological Associates LLCGroup PAC ID 5294009973, 4 clinicians
Toller Enterprises, LLCGroup PAC ID 8628481926, 63 clinicians

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

LicenseStateTypeSpecialty
50004ALMDPsychiatry Physician
MD210003060DCMDPsychiatry Physician
D0094354MDMDPsychiatry Physician
25IA12466800NJMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Spiritual Healing CurrentSince Mar 1, 2025 Accepting new patients
Arundel Mental Health Professionals L.C. CurrentSince May 1, 2026 Accepting new patients
Lca Psychological Associates, LLC CurrentSince Nov 13, 2025 Accepting new patients
Empathy Wellness Center Psychiatry Current Accepting new patients
Integrahealth LLC CurrentSince Mar 12, 2025 Accepting new patients
Toller Enterprises LLC CurrentSince Mar 1, 2025 Accepting new patients
Toller Enterprises LLC CurrentSince Mar 1, 2025 Accepting new patients
Psych Associates of Maryland LLC Psychiatry CurrentSince May 1, 2023 Accepting new patients
Integrahealth LLC Psychiatry CurrentSince Mar 12, 2025 Accepting new patients
Neta, Inc. PastSince Jan 21, 2020 Accepting new patients
Lca Psychological Associates, LLC PastSince Feb 24, 2022 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.