Peter C. Jackson, PSYD Consulting, SC
Organization Active NPI Clinical Psychologist · Madison, WI
NPI 1881058675 · NPPES record last updated Aug 3, 2016
Key facts
- NPI
- 1881058675
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 180557 (WI)
- Legal business name
- PETER C. JACKSON, PSYD CONSULTING, SC
- Practice address
- 700 Ray O Vac Dr
Suite 220
Madison, WI 53711-2479 - Phone
- (608) 276-9191
- Fax
- (608) 276-9144
- NPI assigned
- Apr 8, 2016
- Organization subpart
- No
Authorized official
- Name
- Peter Jackson
- Title
- President
- Phone
- (608) 318-3050
Practitioners 38
-
Jean S. Bae, M.D.
-
Mary E Batson, LPC
-
Anne S. Beal, MSSW
-
Carol J. Faynik, MA
-
Celia L. Huerta, LPC
-
Amy Kucin, MS
-
Marcia Marie Leaser, SAC
-
Sara C. Long, M.D.
-
Sabrina Carol Loomis, LCSW
-
Kirsten Miller, MSW, LCSW
-
Danielle Ogno, MS
-
Barbara Perkins, MSW, LCSW
-
Matthew R Peverill, PHD
-
Judith A Utevsky, LCSW
-
Maureen White, PH.D.
-
Martha Tell York, MSW, LCSW
-
Marie K Udulutch, PSYD
-
Melinda M. Bailey, PHD
-
Amanda Case, MSSW
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist |
103TC0700X | 180557 | WI | Yes |
Addresses
Primary practice location
700 Ray O Vac Dr
Suite 220
Madison, WI 53711-2479
Mailing address
700 Rayovac Drive Suite 220
Madison, WI 53711-2476
Phone (608) 276-9191
Other providers in Madison, WI
- Luke S Perry
- Julia Persike
- Jessica Pesavento Perez
- Jessica L Peszek
- Pete Meagher Counseling LLC
- Katherine Lindsay Peterangelo
- Cierra Peterlin
- Barbara Ann Peterman
- James Peterman
- Amanda Jean Peters
All providers in Madison, WI · Clinical Psychologist in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 3, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.