Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Prof. Rickey T. Jackson, PSYS

Individual provider Clinical Child & Adolescent Psychologist · NPI 1962428748

Prof. Rickey T. Jackson, PSYS is a Clinical Child & Adolescent Psychologist in Taylor, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2006
Specialties on file
2

Practice location Address checks out

20600 Eureka Rd Ste 819
Taylor, MI 48180-5343
Phone: (734) 285-8282
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Child & Adolescent Psychologist (primary) Taxonomy 103TC2200X
Psychologist Taxonomy 103T00000X · Licence 6301008412 (MI)

Record details

NPI number1962428748
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYS
Sole proprietorYes
NPI enumeratedJuly 14, 2006
Last updated in NPPESSeptember 11, 2025

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