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

Dr. Jackson I Newberry III

Individual provider Counselor · NPI 1538673116

Dr. Jackson I Newberry III is a Clinical Psychologist in Mundelein, Illinois. Qualified in 2017, 9 years ago. Practices with Silver Palm Health Psych LLC, a 2-clinician group and accepts Medicare assignment.

Years since qualifying
9
In the registry since
2017

Practice location Address checks out

201 E Park St Ste B
Mundelein, IL 60060-1973
Phone: (847) 262-4393
Show map & directions

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

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X

Record details

NPI number1538673116
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 19, 2017
Last updated in NPPESNovember 19, 2017

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Silver Palm Health Psych Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Mundelein