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

Dr. Javel Jackson, PSYD

Individual provider Professional Counselor · NPI 1316081706

Dr. Javel Jackson, PSYD is a Clinical Psychologist in Atlanta, Georgia. Qualified in 1993, 33 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in Georgia.

Years since qualifying
33
Licensed in
GA
In the registry since
2007
Specialties on file
2
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

4360 Chamblee Dunwoody Rd Ste 530
Atlanta, GA 30341-1049
Phone: (770) 630-6843
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 002284 (GA)
Clinical Psychologist Taxonomy 103TC0700X · Licence 002009 (GA)

Record details

NPI number1316081706
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD
Sole proprietorYes
NPI enumeratedFebruary 18, 2007
Last updated in NPPESSeptember 11, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1993 (33 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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