Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1043606213 Individual Practitioner Male Practitioner

Dr. Edward L Jackson , PSYD PLLC

Psychologist • Commerce Twp, MI

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Edward Jackson, PSYD PLLC is a certified Psychologist practicing in Commerce Twp, MI. With approximately 12 years of clinical experience since completing medical education in 2014, Dr. Jackson delivers high-quality medical care to the local community at 2900 WELCH RD.

Dr. Jackson accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Practice Location & Contact Primary Location

Practice Address

2900 Welch Rd

Commerce Twp, MI 483901562

Telephone 2487677927
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2014

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Commerce Twp, MI

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
12 Yrs Matches City Avg
City Avg: 12.0 Yrs
State Avg: 26.4 Yrs
Regional Practice Density
1 Specialists

Practicing in Commerce Twp, MI (2669 Statewide)

Telehealth Adoption Rate
100.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Jackson (12 Years) 12 Yrs
Commerce Twp Specialty Average (12.0 Years) 12.0 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-11-29
Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License MI 6301016271

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Psychologist - Clinical

NUCC Taxonomy Code: 103TC0700X

State License MI 6301016271

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.

Career & Practice History Timeline

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

10 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 29, 2025

Psychologist (License #6301016271 in MI)

📍
Updated Practice Location September 10, 2023

Registered at 2900 WELCH RD, COMMERCE TWP, MI 483901562 (Tel: 2487677927)

📍
Updated Business Mailing Address September 10, 2023

Registered at 2900 WELCH RD, COMMERCE TWP, MI 483901562 (Tel: 2487677927)

👤
Provider Name / Credentials Updated September 10, 2023

Recorded as EDWARD JACKSON, PSYD PLLC

NPI Profile Active April 14, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location April 14, 2015

Registered at 11111 HALL RD, #303, UTICA, MI 483175711 (Tel: 5869973153)

📍
Updated Business Mailing Address April 14, 2015

Registered at 11111 HALL RD, #303, UTICA, MI 483175711 (Tel: 5869973153)

👤
Provider Name / Credentials Updated April 14, 2015

Recorded as EDWARD JACKSON, PSYD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 14, 2015

Psychologist (License #6301016271 in MI)

🟢
Initial NPI Registration & Enumeration April 14, 2015

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: 1043606213
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 14, 2015
Last Update: November 29, 2025
Sole Proprietor: No

Mailing Address

2900 Welch Rd

Commerce Twp, MI 483901562

Phone: 2487677927

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.