Mr David A Jackson, PHD - Psychologist in Grand Forks, ND

Mr David A Jackson, PHD is a Psychologist based in Grand Forks, North Dakota. Mr David A Jackson is licensed to practice in North Dakota (license number 359) and his current practice location is 3535 S 31st St Ste 201, Grand Forks, North Dakota. He can be reached at his office (for appointments etc.) via phone at (701) 780-6821.

NPI number for Mr David A Jackson is 1801853775 and his current mailing address is 3535 S 31st St Ste 201, Grand Forks, North Dakota. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1801853775.

Contact Information

Mr David A Jackson, PHD
3535 S 31st St Ste 201,
Grand Forks, ND 58201-3593
(701) 780-6821
(701) 780-1973



Healthcare Provider's Profile

Full NameMr David A Jackson
GenderMale
SpecialityPsychologist
Location3535 S 31st St Ste 201, Grand Forks, North Dakota
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1801853775
  • Provider Enumeration Date: 04/26/2006
  • Last Update Date: 09/07/2018

Medical Identifiers

Medical identifiers for Mr David A Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1801853775NPI-NPPES
169230500MedicaidMN
12028MedicaidND
65F61JAOtherMNMN BC/BS
22269OtherNDND BC/BS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist 359 (North Dakota)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. Mr David A 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
Mr David A Jackson, PHD
3535 S 31st St Ste 201,
Grand Forks, ND 58201-3593

Ph: (701) 780-6821
Mr David A Jackson, PHD
3535 S 31st St Ste 201,
Grand Forks, ND 58201-3593

Ph: (701) 780-6821

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› Verified 4 days ago


Psychologist in Grand Forks, ND

Dr. Kara Brita Wettersten, PH.D.
Psychologist
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Phone: 701-772-1588    Fax: 701-746-6077
Ms. Leslie A Rowan, PH.D.
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Dr. Jonathan E Whalen, PH.D.
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Dr. Sue Ann Russell, PH.D.
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Dr. Kyle Patrick De Young, PH.D.
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Dr. Jeanine E. Kotschwar, PH.D.
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Medicare: Accepting Medicare Assignments
Practice Location: 2100 S Columbia Rd, Suite 202, Grand Forks, ND 58201
Phone: 701-772-1588    Fax: 701-746-6077
Elizabeth J Luger, PHD
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Medicare: Accepting Medicare Assignments
Practice Location: 3535 S 31st St Ste 201, Grand Forks, ND 58201
Phone: 701-780-6821    Fax: 701-780-1973

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