Jackson Professional Associates LLC
Jackson Professional Associates LLC is a healthcare organization registered as Psychiatry Physician in Timonium, MD, holding Type 2 (organization) NPI 1376402024 since 2026. The authorized official on file is Dr. Timothy Jack, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1376402024 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Jackson Professional Associates LLC |
| Practice address | 2619 POT SPRING RD, Timonium, MD, 21093 |
| Phone | 8183248644 |
| Enumeration date | 2026-01-19 |
| Last updated in NPPES | 2026-01-19 |
Authorized official
| Name | Dr. Timothy Jack |
|---|---|
| Title | Owner |
| Phone | 8183248644 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 2084P0800X | Psychiatry Physician | Primary | — | — |
Copy-ready billing details
Provider: Jackson Professional Associates LLC NPI: 1376402024 Taxonomy: 2084P0800X (Psychiatry Physician) Address: 2619 POT SPRING RD, Timonium, MD, 21093
Verify this record
Cross-check NPI 1376402024 against the authoritative CMS record: view Jackson Professional Associates LLC on the official NPPES registry .
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. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Jackson Professional Associates LLC?
Who is the authorized official for Jackson Professional Associates LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2026-01-19.