DR. MARIANNE JACKSON PH.D.
NPI 1184832396
Psychologist - Clinical in Brooklyn, NY

Q: What is Marianne Jackson's NPI number?

The NPI number for Marianne Jackson is 1184832396. It was assigned to this individual provider in the NPPES registry on May 19, 2007.

Q: What is Marianne Jackson'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 Marianne Jackson was last updated on July 9, 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.

Active since May 19, 2007

60 PLAZA ST E APT 1K, BROOKLYN, NY 11238(718) 857-4610(718) 857-3160 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Marianne Jackson Ph.d. NPPES

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

DR. MARIANNE JACKSON PH.D. (NPI 1184832396) is an individual clinical provider in Brooklyn, New York, licensed in New York (07305-1) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1184832396

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. MARIANNE JACKSONCredential: PH.D.

Location Address60 PLAZA ST E APT 1KBrooklyn, NY 11238-5033

Mailing Address60 Plaza St E Apt 1kBrooklyn, NY 11238-5033 · (718) 857-4610 · Fax (718) 857-3160

Phone(718) 857-4610

Fax(718) 857-3160

Sole ProprietorYes

Enumeration DateMay 19, 2007

Last NPPES UpdateJuly 9, 2007

✔ NPI 1184832396 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 NY · 07305-1

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.

60 PLAZA ST E APT 1K, Brooklyn, NY 11238

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Other Identifiers 6

Other145969NY · Value Options Member Id

Medicare ID-Type UnspecifiedV55082NY · Provider Number

Other11559263NY · Caqh Provider Id

Other5024687NY · Aetna Provider Pin

OtherA123282NY · Value Options Vender Id

Medicaid00953168NY

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 Marianne Jackson's NPI number?

The NPI number for Marianne Jackson is 1184832396. It was assigned to this individual provider in the NPPES registry on May 19, 2007.

Where is Marianne Jackson located?

Marianne Jackson practices at 60 Plaza St E Apt 1K, Brooklyn, NY 11238. The listed phone number is (718) 857-4610.

What is Marianne 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 Marianne Jackson was last updated on July 9, 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.