Matthew Jackson
Clinical Psychologist · South Bend, IN
Matthew Jackson is a clinical psychologist with a practice address in South Bend, Indiana, and NPI 1952794570, issued on Mar 6, 2015. Check the license (Indiana 20042961A, as entered in NPPES) with the Indiana board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Matthew Jackson
- Primary taxonomy
- Clinical Psychologist 103TC0700X
- License number
- 20042961A IN
Self-reported in NPPES; status is on the state search - Practice location
- 714 N Michigan St, South Bend, IN 46601
- Phone
- (574) 647-7477
- Enumerated
- Mar 6, 2015
- Record last updated
- May 1, 2023
- Medicaid ID
- 300017159 IN
- Medicare enrollment
- Enrolled (PECOS I20180823003656); accepts Medicare assignment
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest clinical psychologist records → All 838 in Indiana → Look up another NPI →
Also registered at 714 N Michigan St
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Daniel Armounfelder, MD, MPHFamily Medicine Physician1538850060
- Jaymie Baker, MDFamily Medicine Physician1770743684
- Tucker Balam, DOFamily Medicine Physician1861652463
- Victoria Bawel, MDStudent in an Organized Health Care Education/Training Program1063260107
- Kristyn Beaver, NPFamily Nurse Practitioner1861150955
- Brandon Bedsole, MDStudent in an Organized Health Care Education/Training Program1366171175
Verify Matthew 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 20042961ACheck the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Beacon Medical Group IncSouth Bend, IN
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Matthew Jackson among 838 clinical psychologist records in Indiana
Matthew Jackson is one of 838 clinical psychologist records with a practice address in Indiana. 20% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2015, is newer than 75% of them.
- NPI issued2015 · 75% of these records are older, 23% newer
- In a Medicare fileYes · 20% of these records are
- In the CMS Doctors and Clinicians fileYes · 26% of these records are
- Graduated2015 · median 2006 among the 222 with a school on file
- Record last updated2023 · 62% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 103TC0700X and a Indiana practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
35 clinical psychologist records list a practice address in South Bend
They are 35 of the 3,178 NPPES records with a practice address in South Bend, and 838 clinical psychologist records in Indiana.
All 838 in Indiana → Every provider in South Bend → Clinical Psychologist nationwide →
The 8 clinical psychologist records with the nearest ZIP codes
- Anthony Berardi, PHDSouth Bend, IN 466011316995095
- Suzanne Courtney, PSY.D.South Bend, IN 466011629222088
- Jeffrey Feathergill, PSY.D.South Bend, IN 466011982632329
- Stacey Le Fevre, PSYDSouth Bend, IN 466011538470018
- Catherine Pittman, PH.D., HSPPSouth Bend, IN 466011639226707
- Gregory Pouliot, PHDSouth Bend, IN 466011336549328
- Jacqueline Quinn-Tan, PSY.D.South Bend, IN 466011518111996
- Michael Reed, PH.D.South Bend, IN 466011629144043
Common questions
What is Matthew Jackson's NPI number?
Matthew Jackson's National Provider Identifier (NPI) is 1952794570, issued on Mar 6, 2015. An NPI identifies a provider in billing; it is not a license.
Where is Matthew Jackson located?
The NPPES record lists a practice address at 714 N Michigan St, South Bend, IN, 46601. Phone: (574) 647-7477. Providers update this record themselves, so call before visiting.
How can I verify Matthew Jackson's license?
NPPES lists Indiana license number 20042961A, 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.