JACKSON PSYCHOLOGICAL, PLLC
NPI 1043072622
Clinic/Center - Mental Health (Including Community Mental Health Center) in Gloversville, NY

Q: What is Jackson Psychological, PLLC's NPI number?

The NPI number for Jackson Psychological, PLLC is 1043072622. It was assigned to this organization in the NPPES registry on January 29, 2024.

Q: What is Jackson Psychological, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Active since January 29, 2024

29 W FULTON ST STE D, GLOVERSVILLE, NY 12078(518) 313-6105(518) 205-7520 Get Directions Write a Review

NPPES record last updated: January 29, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jackson Psychological, Pllc NPPES

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

JACKSON PSYCHOLOGICAL, PLLC (NPI 1043072622) is a healthcare organization registered as a mental health (including community mental health center) in Gloversville, New York and active in the NPI registry since January 2024. The organization maintains a secondary practice location in Scotia and lists Melissa Josephine Sheehy Jackson, Owner, as its authorized official.

NPPES Registry Identity

NPI1043072622

Entity TypeOrganization

Primary Taxonomy261QM0801X

Legal Business NameJACKSON PSYCHOLOGICAL, PLLC

Location Address29 W FULTON ST STE DGloversville, NY 12078-2937

Mailing Address29 W Fulton St Ste DGloversville, NY 12078-2937 · (518) 313-6105 · Fax (518) 205-7520

Phone(518) 313-6105

Fax(518) 205-7520

Organization SubpartNo

Authorized OfficialMelissa Josephine Sheehy JacksonOwner · (518) 313-6105

Enumeration DateJanuary 29, 2024

NPPES CertifiedJanuary 29, 2024

✔ NPI 1043072622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities

Taxonomy Code261QM0801X

29 W FULTON ST STE D, Gloversville, NY 12078

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Secondary Practice Location 1

Location 1106 Mohawk AveScotia, NY 12302-2248 · Phone (518) 313-6105

Other Providers at the Same Location NPPES

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

DR. MELISSA JACKSON PH.D.

Psychologist (Counseling)

29 W FULTON ST STE D
GLOVERSVILLE, NY 12078

Fulton County (518) 313-6105

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 Jackson Psychological, PLLC's NPI number?

The NPI number for Jackson Psychological, PLLC is 1043072622. It was assigned to this organization in the NPPES registry on January 29, 2024.

Where is Jackson Psychological, PLLC located?

Jackson Psychological, PLLC is located at 29 W Fulton St Ste D, Gloversville, NY 12078. The listed phone number is (518) 313-6105.

What is Jackson Psychological, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Jackson Psychological, PLLC was last updated on January 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.