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DR. JACQUELINE D.S. JACKSON PH.D.
NPI 1033268909
Psychologist - Clinical in Menlo Park, CA

Active since January 09, 2007
800 MENLO AVE, #209, MENLO PARK, CA 94025(650) 321-5206 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jacqueline D.s. Jackson Ph.d. NPPES

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

DR. JACQUELINE D.S. JACKSON PH.D. (NPI 1033268909) is an individual clinical provider in Menlo Park, California, licensed in California (PSY8816) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1033268909
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. JACQUELINE D.S. JACKSONCredential: PH.D.
Location Address800 MENLO AVE, #209Menlo Park, CA 94025-4750
Mailing Address800 Menlo Ave, #209Menlo Park, CA 94025-4750 · (650) 321-5206
Phone(650) 321-5206
Sole ProprietorYes
Enumeration DateJanuary 9, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1033268909 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in CA · PSY8816
Definition
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 specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
800 MENLO AVE, Menlo Park, CA 94025
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Other Providers at the Same Location NPPES 2

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

SCOTT SPIVACK LMFT, LPCC
Marriage & Family Therapist
800 MENLO AVE, SUITE 212
MENLO PARK, CA 94025
San Mateo County (650) 288-7112
DR. LYNN ELLEN GORODSKY PH.D.
Psychologist (Clinical)
800 MENLO AVE, SUITE 212
MENLO PARK, CA 94025
San Mateo County (650) 326-8709

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 Jacqueline Jackson's NPI number?

The NPI number for Jacqueline Jackson is 1033268909. It was assigned to this individual provider in the NPPES registry on January 9, 2007.

Where is Jacqueline Jackson located?

Jacqueline Jackson practices at 800 Menlo Ave #209, Menlo Park, CA 94025. The listed phone number is (650) 321-5206.

What is Jacqueline Jackson's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Jacqueline Jackson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.