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

Dr. Edward L Jackson, PSYDPLLC

Individual provider Psychologist · NPI 1043606213

Dr. Edward L Jackson, PSYDPLLC is a Clinical Psychologist in Commerce Twp, Michigan. Qualified in 2014, 12 years ago. Accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
12
Licensed in
MI
In the registry since
2015
Specialties on file
2

Practice location Address checks out

2900 Welch Rd
Commerce Twp, MI 48390-1562
Phone: (248) 767-7927
Show map & directions

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

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 6301016271 (MI)
Clinical Psychologist Taxonomy 103TC0700X · Licence 6301016271 (MI)

Record details

NPI number1043606213
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYDPLLC
Sole proprietorNo
NPI enumeratedApril 14, 2015
Last updated in NPPESNovember 29, 2025
Certification dateNovember 29, 2025
Mailing address2900 Welch Rd, Commerce Twp, MI 48390-1562

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Commerce Twp