NPPES file of Aug 9, 2026

Peter C. Jackson, PSYD

Clinical Psychologist · Madison, WI

Peter C. Jackson, PSYD is a clinical psychologist with a practice address in Madison, Wisconsin, and NPI 1942365994, issued on Dec 27, 2006. Check the license (Wisconsin 1805-057, as entered in NPPES) with the Wisconsin board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1942365994
Name
Peter C. Jackson
Credential
PSYD
Primary taxonomy
Clinical Psychologist 103TC0700X
License number
1805-057 WI
Self-reported in NPPES; status is on the state search
Practice location
700 Ray O Vac Dr, Madison, WI 53711
Phone
(608) 276-9191
Enumerated
Dec 27, 2006
Record last updated
Jan 22, 2019 (not updated in 7 years: call before relying on the address or phone)
Fax
(608) 276-9144
Medicaid ID
39105300 WI
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). A record is not a license: verify it with the state board.
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8 nearest clinical psychologist records → All 728 in Wisconsin → Look up another NPI →

Also registered at 700 Ray O Vac Dr

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Jean Bae, M.D.Psychiatry Physician1093870073
  2. Melinda Bailey, PHDClinical Psychologist1699830869
  3. Anne Beal, MSSWClinical Social Worker1245395425
  4. Alisson Burda, MSSW, LCSWClinical Social Worker1710194634
  5. R. Deroo, MSClinical Social Worker1649335993
  6. Gayle EllisPsychiatric/Mental Health Registered Nurse1295890259

Verify Peter C. Jackson in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Wisconsin board licenses this profession
    Search for license 1805-057    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Wisconsin license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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Peter C. Jackson among 728 clinical psychologist records in Wisconsin

Peter C. Jackson, PSYD is one of 728 clinical psychologist records with a practice address in Wisconsin. 27% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2006, is newer than 3% of them.

  • NPI issued2006 · 3% of these records are older, 68% newer
  • In a Medicare fileNo · 27% of these records are
  • In the CMS Doctors and Clinicians fileNo · 34% of these records are
  • Record last updated2019 · 60% 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 Wisconsin practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Clinical Psychologist providers in Wisconsin

There are 728 clinical psychologist records in Wisconsin. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.

All 728 in Wisconsin → Every provider in Madison → Clinical Psychologist nationwide →

The 8 clinical psychologist records with the nearest ZIP codes

  1. Natasia Adams, PH.D., MPHMadison, WI 537111114685963
  2. Melinda Bailey, PHDMadison, WI 537111699830869
  3. Linnea Burk, PHDFitchburg, WI 537111588961981
  4. Lauren Cunningham, PHDMadison, WI 537111457458184
  5. Judith Heilizer, PH.D.Madison, WI 537111043453681
  6. Gabrielle Lawhon, PH.D.Madison, WI 537111457550188
  7. Sarah Murphy, PSYDMadison, WI 537111831355478
  8. James Niemeier, PH.D.Madison, WI 537111336355429

Common questions

What is Peter C. Jackson, PSYD's NPI number?

Peter C. Jackson, PSYD's National Provider Identifier (NPI) is 1942365994, issued on Dec 27, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Peter C. Jackson, PSYD located?

The NPPES record lists a practice address at 700 Ray O Vac Dr, Madison, WI, 53711. Phone: (608) 276-9191. Providers update this record themselves, so call before visiting.

How can I verify Peter C. Jackson, PSYD's license?

NPPES lists Wisconsin license number 1805-057, as entered by the provider. Search the Wisconsin 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. An NPI identifies who bills; it is not a license.

Written with AI tools from the named public files; every figure is computed from those files (how it is made).

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.