KRISTINA ASHLEY JACKSON PSYD
NPI 1225391006
Psychologist - Clinical in Brooklyn, NY

Q: What is Kristina Jackson's NPI number?

The NPI number for Kristina Jackson is 1225391006. It was assigned to this individual provider in the NPPES registry on June 18, 2012.

Q: What is Kristina 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 Kristina Jackson was last updated on October 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 June 18, 2012

2928 W 36TH ST, BROOKLYN, NY 11224(718) 372-3300(718) 996-8758 Get Directions Write a Review

NPPES record last updated: October 25, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Kristina Ashley Jackson Psyd NPPES

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

KRISTINA ASHLEY JACKSON PSYD (NPI 1225391006) is an individual clinical provider in Brooklyn, New York, licensed in New York (022353) and active in the NPI registry since June 2012. She maintains a secondary practice location in Brooklyn.

NPPES Registry Identity

NPI1225391006

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameKRISTINA ASHLEY JACKSONCredential: PSYD

Location Address2928 W 36TH STBrooklyn, NY 11224-1410

Mailing Address2928 W 36th StBrooklyn, NY 11224-1410 · (718) 372-3300 · Fax (718) 996-8758

Phone(718) 372-3300

Fax(718) 996-8758

Sole ProprietorYes

Enumeration DateJune 18, 2012

Last NPPES UpdateOctober 25, 2021

NPPES CertifiedOctober 25, 2021

✔ NPI 1225391006 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in NY · 022353

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.

Also ListedSocial WorkerTaxonomy 104100000X

2928 W 36TH ST, Brooklyn, NY 11224

Open in Google Maps ↗

Secondary Practice Location 1

Location 13512 Quentin Rd Ste 110Brooklyn, NY 11234-4245 · Phone (800) 275-3243

Other Identifiers 1

Medicaid00057385NY

Other Providers at the Same Location NPPES 20

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

YELENA BANINA

Social Worker