DR. JACK JAFFE PSYD
NPI 1144334269
Psychologist - Clinical in Dallas, TX

Q: What is Jack Jaffe's NPI number?

The NPI number for Jack Jaffe is 1144334269. It was assigned to this individual provider in the NPPES registry on August 18, 2006.

Q: What is Jack Jaffe's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jack Jaffe was last updated on November 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since August 18, 2006PECOS EnrolledAccepts Medicare Assignment

6330 LYNDON B JOHNSON FWY STE 130, DALLAS, TX 75240(972) 693-5485 Get Directions Write a Review

NPPES record last updated: November 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Jack Jaffe Psyd NPPES

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

DR. JACK JAFFE PSYD (NPI 1144334269) is an individual clinical provider in Dallas, Texas, licensed in Texas (31536) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1985).

NPPES Registry Identity

NPI1144334269

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. JACK JAFFECredential: PSYD

Location Address6330 LYNDON B JOHNSON FWY STE 130Dallas, TX 75240-6443

Mailing Address7422 Foxworth DrDallas, TX 75248-3038 · (972) 693-5485

Phone(972) 693-5485

Sole ProprietorYes

Medical School CMSOtherGraduated 1985

Enumeration DateAugust 18, 2006

Last NPPES UpdateNovember 21, 2022

NPPES CertifiedNovember 21, 2022

✔ NPI 1144334269 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 TX · 31536

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.

6330 LYNDON B JOHNSON FWY STE 130, Dallas, TX 75240

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Other Identifiers 2

Medicaid149708301TX

Other86707ATX · Blue Cross Blue Shield

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Molina Healthcare, Oscar Insurance Company and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jack Jaffe Psyd 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 ID9234366683

PECOS Enrollment IDI20250807000016

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75240 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$172.86 typical visit price

range $57.18 – $172.86

Typical copayment $43.21 (range $14.29 – $43.21)

Most-billed visit code 99205

Established Patient

$100.80 typical visit price

range $18.48 – $141.20

Typical copayment $25.20 (range $4.62 – $35.30)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Jack Jaffe's NPI number?

The NPI number for Jack Jaffe is 1144334269. It was assigned to this individual provider in the NPPES registry on August 18, 2006.

Where is Jack Jaffe located?

Jack Jaffe practices at 6330 Lyndon B Johnson Fwy Ste 130, Dallas, TX 75240. The listed phone number is (972) 693-5485.

What is Jack Jaffe's specialty?

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

Is Jack Jaffe enrolled in Medicare?

Yes. Jack Jaffe 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.

What insurance does Jack Jaffe accept?

Health plans from Blue Cross and Blue Shield of Texas, Molina Healthcare, Oscar Insurance Company and UnitedHealthcare list Jack Jaffe 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 Jack Jaffe was last updated on November 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.