P Praxis·MD
● Active Type 1 · Individual

Matthew Jackson, LPA

Psychologist·Plano, TX· NPI 1790503845 · Enumerated 2024 · 1 years on NPI
Jackson is 1 of 64 psychologist providers in Plano and 1 of 3401 in Texas.
NPI age
1 years
Enumerated 2024-09-27
Primary specialty
Psychologist
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-05-07
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 3401 active psychologist providers in Texas.

NPI age
1 years
↓ 14 yr below median (15 yr)
State licenses
1 state
7% of peers hold multiple states
Subspecialties
0
26% of peers hold subspecialties

NPI lifetime · 2024 → 2026

2024-09Enumerated in NPPES
2024 2026

Where they practice

Practice location
1112 18th St # 860051
Plano, TX 750745904
📞 9722659302
Mailing address
1112 18th St # 860051
Plano, TX 750745904
📞 9722659302

Specialties

  • Psychologist Primary
    A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a...
    TX license #39612 taxonomy 103TC0700X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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