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C Wesley Jackson Jr Phd Inc

Clinical Psychologist in Cleveland Heights, OH · enumerated 2007 · authorized official C Jackson, President Owner.

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

National Provider Identifier

1720202500

Verified

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Registry record

Entity type Organization (Type 2)
Legal business name C Wesley Jackson Jr Phd Inc
Practice address 2980 Washington Blvd, Cleveland Heights, OH, 44118
Fax (216) 932-3341
Enumeration date Apr 12, 2007
Last updated in NPPES Jul 30, 2012

Taxonomy & classification

103TC0700X Clinical Psychologist Behavioral Health & Social Service Providers · License 474 (OH) Primary
103TC0700X Clinical Psychologist Behavioral Health & Social Service Providers · License 000519 (MI) Secondary

Authorized official

Name C Jackson
Title President Owner

Other identifiers

Identifier Type State Issuer
0253309 Medicaid OH -

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

Where is C Wesley Jackson Jr Phd Inc located?
The practice location on file with NPPES is in Cleveland Heights, OH.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2012-07-30. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-07-30.