Edward L. Jackson, PsyD
- Affiliated sites
- 1
- State license
- 1
- Year NPI issued
- 2015
- Practice address
- 11111 Hall Rd, Utica, MI 48317
- Practice phone
- Call (586) 997-3153
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Wentworth and Associates
Utica, Michigan
Find Edward Jackson's professional email, personal email and mobile number
Dmand AI checks each channel through healthcare-specific waterfall enrichment. See what is on file with a free account, with practice phones, licenses and affiliations.
Edward L. Jackson is a psychologist in Utica, Michigan
Edward Jackson practices at Wentworth and Associates in Utica, Michigan.
Edward Jackson's NPI, 1043606213, was assigned on April 14, 2015. Edward Jackson holds Michigan license 6301016271.
- NPI
- 1043606213NPI Registry (opens in a new tab)
- Medicare PAC ID
- 3779928494
- NPI enumeration date
- April 14, 2015
- NPI status
- Active
- Accepts Medicare assignment
- Yes
- Offers telehealth
- Yes
- Practice phone
- (586) 997-3153
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Male
- Estimated age
- 38
- Medical school graduation
- 2014
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Practice Data; and Doctors and Clinicians National Downloadable File (CMS)
Edward L. Jackson practices at Wentworth and Associates in Utica, Michigan
Edward Jackson's primary practice is Wentworth and Associates, at 11111 Hall Rd, Utica, MI 48317 in Macomb County. The practice phone is (586) 997-3153.
- Wentworth and Associates11111 Hall Rd, Utica, MI 48317 · Macomb CountyPhone(586) 997-3153
Sources: NPPES NPI Registry (CMS); and Dmand AI Practice Data
Edward L. Jackson is affiliated with 2 sites of care
Edward Jackson's primary practice is Wentworth and Associates in Utica, Michigan. Dmand AI also links Edward Jackson to 1 physician office, named with a free account.
Sources: NPPES NPI Registry (CMS); Dmand AI Practice Data; and Dmand AI Affiliation Data
Dmand AI tracks the EHR system at Edward L. Jackson's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Edward Jackson practices. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Wentworth and Associates | Available with a free account |
| +1 more affiliated site | Available with a free account |
Source: Dmand AI Technology Install Data
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Edward L. Jackson is one of 864 psychologists in Michigan
Psychologist is Edward Jackson's primary specialty in the NPI Registry, under taxonomy code 103T00000X. Edward Jackson is licensed in Michigan.
Specialties and state licenses
- Psychologist, MichiganPrimary
Psychologists near Edward Jackson
Counts of psychologists with a Dmand AI profile, by place and practice. Each opens the list.
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Edward L. Jackson's patients have a median age of 46
Across all payers, Dmand AI patient panel data puts Edward Jackson's median patient age at 46, with 51% women.
Edward Jackson's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 46
Patient panel by sex, all payers
- Women51%
- Men48%
Source: Dmand AI Patient Panel Data
Edward L. Jackson offers telehealth to Medicare patients
Edward Jackson accepts Medicare assignment, so Medicare's approved amount is taken as full payment. CMS lists Edward Jackson as offering telehealth.
- Accepts Medicare assignment
- Yes
- Offers telehealth
- Yes
Source: Doctors and Clinicians National Downloadable File (CMS)
Sources for Edward L. Jackson's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice Data |
| Primary practice, affiliations and health system | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice DataDmand AI Affiliation Data |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel Data |
| MIPS scores, telehealth, assignment and procedure percentiles | Doctors and Clinicians National Downloadable File (CMS) (opens in a new tab) |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Edward L. Jackson
Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.
What is Edward L. Jackson's NPI number?
Edward L. Jackson's NPI number is 1043606213. It was assigned on April 14, 2015, and it is active in the NPI Registry.
What does Edward L. Jackson specialize in?
Edward L. Jackson is a psychologist in Utica, Michigan. The primary specialty in the NPI Registry is Psychologist (taxonomy code 103T00000X).
Where does Edward L. Jackson practice?
Edward Jackson practices at 11111 Hall Rd, Utica, MI 48317. Edward Jackson's primary practice is Wentworth and Associates in Utica, Michigan. Dmand AI also links Edward Jackson to 1 physician office.
What is Edward L. Jackson's office phone number?
The practice phone on file for Edward Jackson is (586) 997-3153.
What is Edward L. Jackson's medical license number?
Edward Jackson holds Michigan license 6301016271.
Does Edward L. Jackson accept Medicare?
Yes. CMS lists Edward Jackson as accepting Medicare assignment.
Does Edward L. Jackson offer telehealth?
Yes. The CMS Doctors and Clinicians file lists Edward Jackson as offering telehealth services.
How long has Edward L. Jackson been practicing?
Edward Jackson graduated from medical school in 2014, 12 years ago.
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