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

Prof. Rickey T. Jackson, PSYS

Individual provider Clinical Child & Adolescent Psychologist · NPI 1962428748

Prof. Rickey T. Jackson, PSYS is a Clinical Child & Adolescent Psychologist in Taylor, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2006
Specialties on file
2

Practice location Address checks out

20600 Eureka Rd Ste 819
Taylor, MI 48180-5343
Phone: (734) 285-8282
Show map & directions

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

Specialties & licences

Clinical Child & Adolescent Psychologist (primary) Taxonomy 103TC2200X
Psychologist Taxonomy 103T00000X · Licence 6301008412 (MI)

Record details

NPI number1962428748
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYS
Sole proprietorYes
NPI enumeratedJuly 14, 2006
Last updated in NPPESSeptember 11, 2025
Mailing address17360 Birchcrest Dr, Detroit, MI 48221-2733

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