Active NPI 1295908051 Individual Practitioner Female Practitioner

Christy Danielle Jackson , NURSE

Licensed Psychiatric Technician • Elyria, OH

Professional Overview & Biography Verified Profile Summary

Christy Jackson, NURSE is a registered healthcare professional specializing in Licensed Psychiatric Technician in Elyria, OH. Practice services are available at 409 COURTLAND ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

409 Courtland St

Elyria, OH 440353167

Telephone 4403245709

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Psychiatric Technician in Elyria, OH

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 10.2 Yrs

Regional Practice Density

1 Specialists

Practicing in Elyria, OH (3 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

Licensed Psychiatric Technician Primary Specialty

NUCC Taxonomy Code: 167G00000X

State License OH PN102812

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.

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active April 11, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location April 11, 2008

Registered at 409 COURTLAND ST, ELYRIA, OH 440353167 (Tel: 4403245709)

📍

Updated Business Mailing Address April 11, 2008

Registered at 409 COURTLAND ST, ELYRIA, OH 440353167 (Tel: 4403245709)

👤

Provider Name / Credentials Updated April 11, 2008

Recorded as CHRISTY JACKSON, NURSE

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 11, 2008

Licensed Psychiatric Technician (License #PN102812 in OH)

🟢

Initial NPI Registration & Enumeration April 11, 2008

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: 1295908051

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: April 11, 2008

Last Update: April 11, 2008

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

409 Courtland St

Elyria, OH 440353167

Phone: 4403245709

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.