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

Jackson Clinic LLC

Organization Psychiatry Physician · NPI 1235873811

Jackson Clinic LLC is a Psychiatry Physician in Lexington, Massachusetts. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

33 Bedford St Ste 11
Lexington, MA 02420-4403
Phone: (781) 825-5390
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X

Record details

NPI number1235873811
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Annise Jackson — Ceo · (781) 825-5390
NPI enumeratedApril 21, 2022
Last updated in NPPESApril 21, 2022
Certification dateApril 21, 2022
Mailing address20 2nd Ave Apt 512, Burlington, MA 01803-4463

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