Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Crystal A. Jackson, PHD, LLP

Individual provider Counseling Psychologist · NPI 1255595948

Dr. Crystal A. Jackson, PHD, LLP is a Clinical Psychologist in Detroit, Michigan. Qualified in 2006, 20 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
20
Licensed in
MI
In the registry since
2008
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

3011 W Grand Blvd Ste 413
Detroit, MI 48202-3011
Phone: (586) 257-2295
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counseling Psychologist (primary) Taxonomy 103TC1900X · Licence 6301013473 (MI)

Record details

NPI number1255595948
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD , LLP
Sole proprietorYes
NPI enumeratedJuly 11, 2008
Last updated in NPPESOctober 13, 2020
Certification dateOctober 13, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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