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

Individual provider Clinical Psychologist · NPI 1619300886

Michelle Beth Jackson, PSYD is a Clinical Psychologist in Los Angeles, California. Licensed in California. Registered with an NPI since 2013.

Licensed in
CA
In the registry since
2013
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

12304 Santa Monica Blvd Ste 379
Los Angeles, CA 90025-1542
Phone: (818) 646-6281
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 29440 (CA)

Record details

NPI number1619300886
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD
Sole proprietorNo
NPI enumeratedAugust 12, 2013
Last updated in NPPESFebruary 15, 2019

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