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

Robert Leon Jackson, PHD

Individual provider Clinical Psychologist · NPI 1104032952

Robert Leon Jackson, PHD is a Clinical Psychologist in Springfield, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2007
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

1201 S Veterans Pkwy Ste B
Springfield, IL 62704-6321
Phone: (217) 793-2770
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X (IL)

Record details

NPI number1104032952
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedMay 15, 2007
Last updated in NPPESJuly 8, 2007
Mailing address16 Longbow Ln, Springfield, IL 62704-5324

Other providers in Springfield