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Active NPI 1790503845 Individual Practitioner Male Practitioner

Matthew Jackson , LPA

Psychologist - Clinical • Plano, TX

Professional Overview & Biography Verified Profile Summary

Matthew Jackson, LPA is a registered healthcare professional specializing in Psychologist - Clinical in Plano, TX. Practice services are available at 1112 18TH ST # 860051 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1112 18th St # 860051

Plano, TX 750745904

Telephone 9722659302

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist - Clinical in Plano, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 23.2 Yrs
State Avg: 22.3 Yrs
Regional Practice Density
47 Specialists

Practicing in Plano, TX (2898 Statewide)

Telehealth Adoption Rate
8.5% 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: 2025-04-26
Psychologist - Clinical Primary Specialty

NUCC Taxonomy Code: 103TC0700X

State License TX 39612

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

8 Historical Events
📍
Updated Practice Location May 07, 2025

Registered at 1112 18TH ST # 860051, PLANO, TX 750745904 (Tel: 9722659302)

📍
Updated Business Mailing Address May 07, 2025

Registered at 1112 18TH ST # 860051, PLANO, TX 750745904 (Tel: 9722659302)

NPI Profile Active September 27, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location September 27, 2024

Registered at 721 WEDGEGATE DR, PLANO, TX 750236834 (Tel: 3093514830)

📍
Updated Business Mailing Address September 27, 2024

Registered at 721 WEDGEGATE DR, PLANO, TX 750236834 (Tel: 3093514830)

👤
Provider Name / Credentials Updated September 27, 2024

Recorded as MATTHEW JACKSON, LPA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 27, 2024

Psychologist (License #39612 in TX)

🟢
Initial NPI Registration & Enumeration September 27, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1790503845
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 27, 2024
Last Update: May 07, 2025
Sole Proprietor: Yes

Mailing Address

1112 18th St # 860051

Plano, TX 750745904

Phone: 9722659302

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.