Dr Charles Wesley Jackson Jr, PH D - Psychologist in Cleveland Heights, OH

Dr Charles Wesley Jackson Jr, PH D is a Psychologist - Clinical based in Cleveland Heights, Ohio. Dr Charles Wesley Jackson Jr is licensed to practice in Ohio (license number PSYCHOLOGIST 474) and his current practice location is 2980 Washington Blvd, Cleveland Heights, Ohio. He can be reached at his office (for appointments etc.) via phone at (216) 321-9355.

NPI number for Dr Charles Wesley Jackson Jr is 1437224813 and his current mailing address is 2980 Washington Blvd, Cleveland Heights, Ohio. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1437224813.

Contact Information

Dr Charles Wesley Jackson Jr, PH D
2980 Washington Blvd,
Cleveland Heights, OH 44118-2450
(216) 321-9355
(216) 932-3341

Map and Direction




Healthcare Provider's Profile

Full NameDr Charles Wesley Jackson Jr
GenderMale
SpecialityPsychologist - Clinical
Location2980 Washington Blvd, Cleveland Heights, Ohio
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1437224813
  • Provider Enumeration Date: 11/21/2006
  • Last Update Date: 10/08/2012

Medical Identifiers

Medical identifiers for Dr Charles Wesley Jackson Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1437224813NPI-NPPES
0253309MedicaidOH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical PSYCHOLOGIST 474 (Ohio)Primary
103TC0700XPsychologist - Clinical PSYCHOLOGIST 000519 (Michigan)Secondary

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. Dr Charles Wesley Jackson Jr 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
Dr Charles Wesley Jackson Jr, PH D
2980 Washington Blvd,
Cleveland Heights, OH 44118-2450

Ph: (216) 321-9355
Dr Charles Wesley Jackson Jr, PH D
2980 Washington Blvd,
Cleveland Heights, OH 44118-2450

Ph: (216) 321-9355

Reviews and Comments


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