Prof Rickey T Jackson, PSY S - Psychologist in Taylor, MI

Prof Rickey T Jackson, PSY S is a Psychologist based in Taylor, Michigan. Prof Rickey T Jackson is licensed to practice in Michigan (license number 6301008412) and his current practice location is 20600 Eureka Rd, Suite 819, Taylor, Michigan. He can be reached at his office (for appointments etc.) via phone at (734) 285-8282.

NPI number for Prof Rickey T Jackson is 1962428748 and his current mailing address is 17360 Birchcrest Dr, Detroit, Michigan. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1962428748.

Contact Information

Prof Rickey T Jackson, PSY S
20600 Eureka Rd, Suite 819,
Taylor, MI 48180-5343
(734) 285-8282
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameProf Rickey T Jackson
GenderMale
SpecialityPsychologist
Location20600 Eureka Rd, Taylor, Michigan
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1962428748
  • Provider Enumeration Date: 07/14/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Prof Rickey T Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1962428748NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC2200XPsychologist - Clinical Child & Adolescent (* (Not Available))Primary
103T00000XPsychologist 6301008412 (Michigan)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Prof Rickey T Jackson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Prof Rickey T Jackson, PSY S
17360 Birchcrest Dr,
Detroit, MI 48221-2733

Ph: (313) 861-4027
Prof Rickey T Jackson, PSY S
20600 Eureka Rd, Suite 819,
Taylor, MI 48180-5343

Ph: (734) 285-8282

Reviews and Comments


Psychologist in Taylor, MI

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Practice Location: 21751 Ecorse Rd, Taylor, MI 48180
Phone: 313-291-7000    Fax: 313-291-0942
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