DR. JACK JAFFE PSYD
NPI 1144334269
Psychologist - Clinical in Dallas, TX
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
Specialties & Licenses
Other Identifiers 2
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. 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.
Medicare Billing Reassignments
2Medicare enrollment records show Jack Jaffe reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Warrenton, VA 20186
- Reassigned Medicare billing, Virginia enrollment
- 7 clinicians in this Medicare group
Williamsburg, VA 23185
- Reassigned Medicare billing, Virginia enrollment
- 2 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.
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.
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.
Which organizations bill Medicare for Jack Jaffe's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jack Jaffe reassigns Medicare benefits to 2 organizations: In Luck Counseling LLC (Warrenton, VA) and Two Rivers Wellness Center LLC (Williamsburg, VA). Each 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 Jack Jaffe's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jack Jaffe accept?
Health plans from Blue Cross and Blue Shield of Texas, Cigna 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.
# Dr. Jack Jaffe, PSYD · NPI 1144334269
Clinical provider in Dallas, Texas. Individual provider, active in the CMS NPPES registry since August 18, 2006.
## Identity
- **NPI:** 1144334269 (Entity type: Individual)
- **Enumerated:** August 18, 2006
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** 31536 (Texas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 6330 LYNDON B JOHNSON FWY STE 130, Dallas, TX 75240-6443
- **Phone:** (972) 693-5485
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): In Luck Counseling LLC (NPI 1174181168, Warrenton, VA); Two Rivers Wellness Center LLC (NPI 1356971022, Williamsburg, VA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1985
## Record status
- **NPPES last updated:** November 21, 2022
- **Other identifiers:** Medicaid 149708301 (TX); Other 86707A (TX)
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Source: [NPI Profile](https://npiprofile.com/npi/1144334269) · Data from the CMS NPPES public registry.