Joann Michelle Jackson, PSY.D.
Psychologist · South Bend, IN
Joann Michelle Jackson, PSY.D. is a psychologist with a practice address in South Bend, Indiana, and NPI 1194739904, issued on Jul 28, 2006. Check the license (Indiana 20040982A, as entered in NPPES) with the Indiana board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Joann Michelle Jackson
- Credential
- PSY.D.
- Primary taxonomy
- Psychologist 103T00000X
- License number
- 20040982A IN
Self-reported in NPPES; status is on the state search - Practice location
- 403 E Madison St, South Bend, IN 46617
- Phone
- (574) 533-1234
- Enumerated
- Jul 28, 2006
- Record last updated
- Sep 27, 2010 (not updated in 16 years: call before relying on the address or phone)
- Fax
- (574) 537-2652
- Medicaid ID
- 200200700A IN
- Medicare enrollment
- Enrolled (PECOS I20150513001859); accepts Medicare assignment
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest psychologist records → All 439 in Indiana → Look up another NPI →
Also registered at 403 E Madison St
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Mabel Aghimien, MSWSocial Worker1346370970
- Damion Aitken, MSWSocial Worker1376672154
- Keith Anderson, MSWClinical Social Worker1982863312
- Alison Andrews, MACounselor1245362003
- Elisa Bell, M.D.Child & Adolescent Psychiatry Physician1952450223
- Harold Bernt, LCSWClinical Social Worker1518934017
Verify Joann Michelle Jackson in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Indiana board licenses this profession
Search for license 20040982ACheck the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
One hospital affiliation
- Oaklawn Psychiatric Center IncSouth Bend, IN · Psychiatric
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through); hospitals matched to CMS Hospital General Information (Care Compare) (data.cms.gov).
Joann Michelle Jackson among 439 psychologist records in Indiana
Joann Michelle Jackson, PSY.D. is one of 439 psychologist records with a practice address in Indiana. 15% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 5% of them.
- NPI issued2006 · 5% of these records are older, 67% newer
- In a Medicare fileYes · 15% of these records are
- In the CMS Doctors and Clinicians fileYes · 20% of these records are
- Graduated1993 · median 2008 among the 88 with a school on file
- Record last updated2010 · 59% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 103T00000X and a Indiana practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Psychologist providers in Indiana
There are 439 psychologist records in Indiana.
All 439 in Indiana → Every provider in South Bend → Psychologist nationwide →
The 8 psychologist records with the nearest ZIP codes
- Josephine Dickinson, PH.D.South Bend, IN 466171477838704
- Megan Harrity, PH.D.South Bend, IN 466171790199529
- John Petersen, PSY.D.South Bend, IN 466171851491526
- Heidi Krug, PSY. D.South Bend, IN 466151275083768
- Stephanie Luallin, HSPPSouth Bend, IN 466141639847155
- Joyce Block, PHDSouth Bend, IN 466011841308756
- William Bruinsma, PSYDSouth Bend, IN 466011598145484
- Marie Udulutch, PSYDSouth Bend, IN 466011851376149
Common questions
What is Joann Michelle Jackson, PSY.D.'s NPI number?
Joann Michelle Jackson, PSY.D.'s National Provider Identifier (NPI) is 1194739904, issued on Jul 28, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Joann Michelle Jackson, PSY.D. located?
The NPPES record lists a practice address at 403 E Madison St, South Bend, IN, 46617. Phone: (574) 533-1234. Providers update this record themselves, so call before visiting.
How can I verify Joann Michelle Jackson, PSY.D.'s license?
NPPES lists Indiana license number 20040982A, as entered by the provider. Search the Indiana board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.