Elizabeth W Jackson PHD PLLC
NPI 1306199658ActiveOrganization· Psychologist, Clinical· Raleigh, NC
Psychologist, Clinical in Raleigh, North Carolina, registered in NPPES in October 2012. The authorized official on file is Elizabeth Wood Jackson, PHD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1306199658 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 24, 2012 |
| Last updated in NPPES | Sep 11, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NC) |
|---|
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