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Johanna B. Jackson, S.S.P.

NPI 1386078509ActiveIndividual· Psychologist, School· York, SC

Psychologist, School (S.S.P.) in York, South Carolina, licensed in SC, with an NPI issued in August 2013.

Overview

NPI1386078509
StatusActive
Entity typeIndividual
CredentialS.S.P.
Sole proprietorNo
NPI issuedAug 23, 2013
Last updated in NPPESAug 23, 2013

Specialties and licenses

TaxonomyCodeLicenseState
Psychologist, School Primary103TS0200X207262SC

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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