Michael B. Jackson in Tenafly - Forensic Psychiatry
Michael B. Jackson - NPI 1073600896
Michael B. Jackson is a Forensic Psychiatry in Tenafly, New Jersey. Michael B. Jackson practices all healthcare services and medical treatments related to Forensic Psychiatry. The NPI Number for Michael B. Jackson is 1073600896. The last update date is 2019-09-10.
Michael B. Jackson's current location address is 112 Churchill Rd, Tenafly, New Jersey. You can contact this provider via phone number 2015889475. The mailing address for Michael B. Jackson is 112 Churchill Rd, Tenafly, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael B. Jackson |
|---|---|
| Address | 112 Churchill Rd, Tenafly, New Jersey |
| Phone Number | 2015889475 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1073600896 |
|---|---|
| Provider Enumeration Date | 2006-10-05 |
| Last Updated Date | 2019-09-10 |
Provider Mailing Address Detail
| Address | 112 Churchill Rd |
|---|---|
| City | Tenafly |
| State | New Jersey (NJ) |
| Post Code | 76703120 |
| Phone Number | 2015889475 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Forensic Psychiatry |
|---|---|
| Taxonomy | 2084F0202X |
| Licence No | 25MA08023100 |
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Definition: Forensic Psychiatry is a subspecialty with psychiatric focus on interrelationships with civil, criminal and administrative law, evaluation and specialized treatment of individuals involved with the legal system, incarcerated in jails, prisons, and fo |
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Post Comment/ Review Below
What is the unique identification code assigned to Michael B. Jackson by the Centers for Medicare & Medicaid Services?
The Michael B. Jackson has been issued the NPI (National Provider Identifier) 1073600896. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Michael B. Jackson's physical address?
The Michael B. Jackson is physically located at 112 Churchill Rd, in the city of Tenafly, NJ, with the postal code 76703120.
What is Michael B. Jackson's specialized field of practice, and what is the corresponding taxonomy classification code?
The Michael B. Jackson's area of specialization is Forensic Psychiatry, and the corresponding taxonomy code that categorizes this field of practice is 2084F0202X.
On what date was the 1073600896 assigned to Michael B. Jackson?
The Michael B. Jackson was issued its 1073600896 on 2006-10-05, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Michael B. Jackson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Michael B. Jackson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2019-09-10.