DR. DENIS IAN JACKSON PH.D.
NPI 1013000561
Psychologist in Wauwatosa, WI

Active since October 02, 2006PECOS EnrolledAccepts Medicare Assignment
11931 W BLUEMOUND RD, WAUWATOSA, WI 53226(414) 276-8669(414) 276-1266 Get Directions Write a Review

NPPES record last updated: November 12, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Denis Ian Jackson Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DENIS IAN JACKSON PH.D. (NPI 1013000561) is an individual psychologist in Wauwatosa, Wisconsin, licensed in Wisconsin (1965) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1993).

NPPES Registry Identity

NPI1013000561
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. DENIS IAN JACKSONCredential: PH.D.
Location Address11931 W BLUEMOUND RDWauwatosa, WI 53226-3905
Mailing Address11931 W Bluemound RdWauwatosa, WI 53226-3905 · (414) 276-8669 · Fax (414) 276-1266
Fax(414) 276-1266
Sole ProprietorYes
Medical School CMSOtherGraduated 1993
Enumeration DateOctober 2, 2006
Last NPPES UpdateNovember 12, 2008
✔ NPI 1013000561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in WI · 1965
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
11931 W BLUEMOUND RD, Wauwatosa, WI 53226

Other Identifiers 1

Medicaid39185400WI

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Denis Ian Jackson Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8527962323
PECOS Enrollment IDI20040405000204
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Denis Jackson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Counselor
1095 MIDWAY RD
Menasha, WI 54952
  • Reassigned Medicare billing, Wisconsin enrollment
  • 988 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Massage Therapist
11931 W BLUEMOUND RD
WAUWATOSA, WI 53226

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Denis Jackson's NPI number?

The NPI number for Denis Jackson is 1013000561. It was assigned to this individual provider in the NPPES registry on October 2, 2006.

Where is Denis Jackson located?

Denis Jackson practices at 11931 W Bluemound Rd, Wauwatosa, WI 53226. The listed phone number is (414) 276-8669.

What is Denis Jackson's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Denis Jackson enrolled in Medicare?

Yes. Denis Jackson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Denis Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Denis Jackson reassigns Medicare benefits to Thedacare, Incorporated (Menasha, WI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Denis Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Denis Jackson accept?

Health plans from Anthem Blue Cross and Blue Shield, Network Health and UnitedHealthcare list Denis Jackson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Denis Jackson was last updated on November 12, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.