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

C Wesley Jackson Jr PHD Inc

Organization Clinical Psychologist · NPI 1720202500

C Wesley Jackson Jr PHD Inc is a Clinical Psychologist in Cleveland Heights, Ohio. Licensed in Michigan and Ohio. Registered with an NPI since 2007.

Licensed in
MI, OH
In the registry since
2007
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2980 Washington Blvd
Cleveland Heights, OH 44118-2450
Phone: (216) 321-9355
Fax: (216) 932-3341
Show map & directions

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

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 474 (OH)
Clinical Psychologist Taxonomy 103TC0700X · Licence 000519 (MI)

Record details

NPI number1720202500
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official C Jackson — President Owner · (216) 321-9355
NPI enumeratedApril 12, 2007
Last updated in NPPESJuly 30, 2012
Mailing address2980 Washington Blvd, Cleveland Heights, OH 44118-2450

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