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Active NPI 1184047698 Individual Practitioner Male Practitioner

Dr. Eric D Jackson , PhD

Psychologist - Clinical • Orange, CT

Professional Overview & Biography Verified Profile Summary

Dr. Eric Jackson, PhD is a registered healthcare professional specializing in Psychologist - Clinical in Orange, CT. Practice services are available at 35 OLD TAVERN RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

35 Old Tavern Rd
Suite 103

Orange, CT 064773450

Telephone 2037019666
Associated Practice Facility / Clinic
🏢 Personal Growth & Wellness Facility NPI 1295127041

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist - Clinical in Orange, CT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 28.0 Yrs
State Avg: 27.7 Yrs
Regional Practice Density
11 Specialists

Practicing in Orange, CT (1151 Statewide)

Telehealth Adoption Rate
9.1% 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

Psychologist - Clinical Primary Specialty

NUCC Taxonomy Code: 103TC0700X

State License CT 003329

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Practice Associates & Co-Workers

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

1 Associated Practitioners
Christiane Maiorana , LMFT

Marriage & Family Therapist

NPI 1568702819

Licensed Marriage and Family Therapist

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active February 04, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location February 04, 2014

Registered at 35 OLD TAVERN RD, SUITE 103, ORANGE, CT 064773450 (Tel: 2037019666)

📍
Updated Business Mailing Address February 04, 2014

Registered at 88 E BROADWAY APT B, MILFORD, CT 064606128 (Tel: 2037019666)

👤
Provider Name / Credentials Updated February 04, 2014

Recorded as ERIC JACKSON, PHD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 04, 2014

Psychologist (License #003329 in CT)

🟢
Initial NPI Registration & Enumeration February 04, 2014

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: 1184047698
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 04, 2014
Last Update: February 04, 2014
Sole Proprietor: Yes

Mailing Address

88 E Broadway Apt B

Milford, CT 064606128

Phone: 2037019666

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.