Fredericka Jackson, PH.D. CAC II

Individual Active
NPI 1922089531
Addiction (Substance Use Disorder) Psychologist Troy, MI

Fredericka Jackson, PH.D. CAC II holds NPI 1922089531, with a primary taxonomy of addiction (substance use disorder) psychologist and a practice location in Troy, MI. The number was issued on November 10, 2005 and the NPPES record was last updated on September 11, 2025. The record lists 2 taxonomy codes.

Taxonomies and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Psychologist Primary 103TA0400X 6301008884 (MI)
Clinical Psychologist 103TC0700X 6301008884 (MI)

Practice location

38815 Dequindre Rd
Troy, MI 48083-5769
Phone: (248) 250-7323

Local context

Active NPPES records list 32 providers with addiction (substance use disorder) psychologist as the primary taxonomy within 25 miles of this practice location's ZIP code, 10 of them within 10 miles.

The same primary taxonomy is listed by 59 in Michigan and 741 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Dr. Fredericka Arlene Jackson
Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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