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

Joann Michelle Jackson, PSYD

Individual provider Psychologist · NPI 1194739904

Joann Michelle Jackson, PSYD is a Clinical Psychologist in South Bend, Indiana. Qualified in 1993, 33 years ago. Practices with Oaklawn Psychiatric Center Inc, a 68-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Indiana.

Years since qualifying
33
Licensed in
IN
In the registry since
2006
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

403 E Madison St
South Bend, IN 46617-2322
Phone: (574) 533-1234
Fax: (574) 537-2652
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 20040982A (IN)

Record details

NPI number1194739904
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD
Sole proprietorNo
NPI enumeratedJuly 28, 2006
Last updated in NPPESSeptember 27, 2010

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)
Group practice Oaklawn Psychiatric Center Inc — 68 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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