1. Home
  2. Directory
  3. Connecticut
  4. Greenwich
  5. Psychiatry Neurology
  6. NPI Profile

DR. WYNN K JACKSON MD
NPI 1194989772
Psychiatry & Neurology - Psychiatry in Greenwich, CT

Active since July 14, 2008Opted out of Medicare · through Jun 22, 2027
2 BENEDICT PL, GREENWICH, CT 06830(203) 661-7575 Get Directions Write a Review

NPPES record last updated: July 14, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Wynn K Jackson Md NPPES

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

DR. WYNN K JACKSON MD (NPI 1194989772) is an individual psychiatry provider in Greenwich, Connecticut, licensed in Connecticut (029759) and active in the NPI registry since July 2008. She has opted out of Medicare through June 22, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1194989772
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameDR. WYNN K JACKSONCredential: MD
Location Address2 BENEDICT PLGreenwich, CT 06830-5358
Mailing Address2 Benedict PlGreenwich, CT 06830-5358 · (203) 661-7575
Phone(203) 661-7575
Sole ProprietorYes
Enumeration DateJuly 14, 2008
✔ NPI 1194989772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in CT · 029759
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
2 BENEDICT PL, Greenwich, CT 06830
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Wynn K Jackson Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 22, 2017 through June 22, 2027.

Opt-Out Effective DateJune 22, 2017
Opt-Out In Effect ThroughJune 22, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06830 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
$183.10 typical visit price
range $60.82 – $183.10
Typical copayment $45.77 (range $15.20 – $45.77)
Most-billed visit code 99205
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

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

MRS. KATHLEEN USHER SLP
Speech-Language Pathologist
2 BENEDICT PL
GREENWICH, CT 06830
Western Connecticut Planning Region (203) 552-5201
MRS. MARCIA JO SCHLECHTER
Social Worker (Clinical)
2 BENEDICT PL
GREENWICH, CT 06830
Western Connecticut Planning Region (203) 422-0303
MS. AMANDA GRIER POOLE LCSW
Social Worker (Clinical)
2 BENEDICT PL
GREENWICH, CT 06830
Western Connecticut Planning Region (917) 302-5455
LOIS ANN MORTON M.D.
Psychiatry & Neurology (Psychiatry)
2 BENEDICT PL
GREENWICH, CT 06830
Western Connecticut Planning Region (203) 622-6551

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 Wynn Jackson's NPI number?

The NPI number for Wynn Jackson is 1194989772. It was assigned to this individual provider in the NPPES registry on July 14, 2008.

Where is Wynn Jackson located?

Wynn Jackson practices at 2 Benedict Pl, Greenwich, CT 06830. The listed phone number is (203) 661-7575.

What is Wynn Jackson's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Wynn Jackson enrolled in Medicare?

No. Wynn Jackson has opted out of Medicare through June 22, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Wynn Jackson was last updated on July 14, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.