Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1003372772 Individual Practitioner Female Practitioner

Jamika Jackson

Licensed Psychiatric Technician • Riverside, CA

Professional Overview & Biography Verified Profile Summary

Jamika Jackson is a registered healthcare professional specializing in Licensed Psychiatric Technician in Riverside, CA. Practice services are available at 17270 ROOSEVELT ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

17270 Roosevelt St

Riverside, CA 925089523

Telephone 9516836596
Associated Practice Facility / Clinic
🏢 La Vista Inc Facility NPI 1407940448

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Psychiatric Technician in Riverside, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
39 Specialists

Practicing in Riverside, CA (2427 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-07-31
Licensed Psychiatric Technician Primary Specialty

NUCC Taxonomy Code: 167G00000X

State License CA 41047

An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental disorders and developmental disabilities.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dorene Cahill

Counselor

NPI 1013286426
NPI 1013338284

CATCI

Seleste Lozano

Counselor - Professional

NPI 1013508019
Rubie Franklin , MFTT

Marriage & Family Therapist

NPI 1023200136
Samantha Duro , RADT1

Counselor - Addiction (Substance Use Disorder)

NPI 1023526902
Sarah Davidson-Amici

Social Worker - Clinical

NPI 1023638541

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
📍
Updated Practice Location July 31, 2024

Registered at 17270 ROOSEVELT ST, RIVERSIDE, CA 925089523 (Tel: 9516836596)

📍
Updated Business Mailing Address July 31, 2024

Registered at 5870 ARLINGTON AVE, RIVERSIDE, CA 925042037 (Tel: 9516836596)

📍
Updated Practice Location March 30, 2023

Registered at 28999 OLD TOWN FRONT ST STE 101, TEMECULA, CA 925902842 (Tel: 9512618392)

📍
Updated Business Mailing Address March 30, 2023

Registered at 28999 OLD TOWN FRONT ST STE 101, TEMECULA, CA 925902842 (Tel: 9512618392)

📍
Updated Practice Location November 18, 2021

Registered at 720 E GILBERT ST, SAN BERNARDINO, CA 924152138 (Tel: 9093326000)

📍
Updated Business Mailing Address November 18, 2021

Registered at 720 E GILBERT ST, SAN BERNARDINO, CA 924155666 (Tel: 9093326000)

NPI Profile Active February 18, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location February 18, 2019

Registered at 1517 W GARVEY AVE N, WEST COVINA, CA 917902138 (Tel: 6269626061)

📍
Updated Business Mailing Address February 18, 2019

Registered at 254 N SPRUCE AVE APT 84, RIALTO, CA 923765666 (Tel: 3107143067)

👤
Provider Name / Credentials Updated February 18, 2019

Recorded as JAMIKA JACKSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 18, 2019

Licensed Psychiatric Technician (License #41047 in CA)

🟢
Initial NPI Registration & Enumeration February 18, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1003372772
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 18, 2019
Last Update: July 31, 2024
Sole Proprietor: No

Mailing Address

5870 Arlington Ave

Riverside, CA 925042037

Phone: 9516836596

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.