Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Joann Michelle Jackson, PSY.D.

Psychologist in South Bend, IN · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1194739904

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Registry record

Entity type Individual (Type 1)

Name Joann Michelle Jackson

Credential PSY.D.

Sex Female

Practice address 403 E Madison St, South Bend, IN, 46617

Phone (574) 533-1234

Fax (574) 537-2652

Enumeration date Jul 28, 2006

Last updated in NPPES Sep 27, 2010

Taxonomy & licenses

103T00000X Psychologist Behavioral Health & Social Service Providers · License 20040982A (IN) Primary

PSYD · Doctor of Psychology: A clinical doctorate in psychology focused on professional practice. About the PSYD credential

Other identifiers

Identifier	Type	State	Issuer
200200700A	Medicaid	IN	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How do I verify Joann Jackson's NPI record?

Cross-check NPI 1194739904 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Is NPI 1194739904 active?

Yes, as of the latest NPPES snapshot, NPI 1194739904 is active (record last updated 2010-09-27).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2010-09-27.