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Deactivated NPI 1376723635 Deactivated / Inactive NPI Male Practitioner

Dr. Malcolm Owen Jackson , PhD, HSPP

Psychologist - Counseling • Frankton, IN

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Malcolm Jackson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 05, 2007
NPI Deactivation Date January 30, 2022
Total Practice Duration ~15 Years of Practice (2007 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Malcolm Jackson, PhD, HSPP was a registered Psychologist - Counseling practicing in Frankton, IN. Throughout an active medical career spanning 15 years, Dr. Jackson provided care at the practice location at 5614 N 700 W until profile deactivation on 2022-01-30.

Practice Location & Contact Primary Location

Practice Address

5614 N 700 W

Frankton, IN 460449535

Telephone 7657548602

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist - Counseling in Frankton, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 19.9 Yrs
Regional Practice Density
1 Specialists

Practicing in Frankton, IN (141 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

Psychologist - Counseling Primary Specialty

NUCC Taxonomy Code: 103TC1900X

State License IN 20010472A

A psychologist who specializes in general practice and health service. It focuses on how people function both personally and in their relationships at all ages. Counseling psychology addresses the emotional, social, work, school and physical health concerns people may have at different stages in their lives, focusing on typical life stresses and more severe issues with which people may struggle as individuals and as a part of families, groups and organizations. Counseling psychologists help people with physical, emotional and mental health issues improve their sense of well-being, alleviate feelings of distress and resolve crises. They also provide assessment, diagnosis, and treatment of more severe psychological symptoms.

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated January 30, 2022

Record deactivated on January 30, 2022

NPI Profile Active November 05, 2007

NPI status registered as active in NPPES database

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Updated Practice Location November 05, 2007

Registered at 5614 N 700 W, FRANKTON, IN 460449535 (Tel: 7657548602)

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Updated Business Mailing Address November 05, 2007

Registered at 5614 N 700 W, FRANKTON, IN 460449535 (Tel: 7657548602)

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Provider Name / Credentials Updated November 05, 2007

Recorded as MALCOLM JACKSON, PH.D., HSPP

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 05, 2007

Psychologist (License #20010472A in IN)

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Initial NPI Registration & Enumeration November 05, 2007

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: 1376723635
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 05, 2007
Last Update: November 05, 2007
Deactivation Date: January 30, 2022

Mailing Address

5614 N 700 W

Frankton, IN 460449535

Phone: 7657548602

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

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