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DR. CYNTHIA JACKSON PHD
NPI 1235185653
Psychologist - Clinical in Pasadena, CA

Active since May 26, 2006PECOS Enrolled
447 N EL MOLINO AVE, #2, PASADENA, CA 91101(626) 577-8480(626) 577-8978 Get Directions Write a Review

NPPES record last updated: July 20, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Cynthia Jackson Phd NPPES

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

DR. CYNTHIA JACKSON PHD (NPI 1235185653) is an individual clinical provider in Pasadena, California, licensed in California (PSY14155) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235185653
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. CYNTHIA JACKSONCredential: PHD
Location Address447 N EL MOLINO AVE, #2Pasadena, CA 91101-1403
Mailing Address447 N El Molino AvePasadena, CA 91101-1403 · (626) 577-8480 · Fax (626) 577-8978
Phone(626) 577-8480
Fax(626) 577-8978
Sole ProprietorNo
Enumeration DateMay 26, 2006
Last NPPES UpdateJuly 20, 2017
✔ NPI 1235185653 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 CA · PSY14155
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.
447 N EL MOLINO AVE, Pasadena, CA 91101
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Other Identifiers 1

Medicare UPINWCP14155ACA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Cynthia Jackson Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 91101 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
$187.60 typical visit price
range $62.96 – $187.60
Typical copayment $46.90 (range $15.74 – $46.90)
Most-billed visit code 99205
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

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.

DEIDRA RENEE NEWVILLE
Counselor
447 N EL MOLINO AVE
PASADENA, CA 91101
Los Angeles County (626) 577-8480
JASMINE RIVAS
Community Health Worker
447 N EL MOLINO AVE
PASADENA, CA 91101
Los Angeles County (626) 577-8480
RACHEL SCOON
Community Health Worker
447 N EL MOLINO AVE
PASADENA, CA 91101
Los Angeles County (626) 577-8480
VERNEE ALEXIS ANTHONY
Student in an Organized Health Care Education/Training Program
447 N EL MOLINO AVE
PASADENA, CA 91101
Los Angeles County (626) 577-8480
CHASE YEATMAN M.A.
Student in an Organized Health Care Education/Training Program
447 N EL MOLINO AVE
PASADENA, CA 91101
Los Angeles County (626) 577-8480
MS. ERICA MARIE HIPP
Social Worker
447 N EL MOLINO AVE
PASADENA, CA 91101
Los Angeles County (626) 577-8480
JENNIFER SMITH
Psychologist
447 N EL MOLINO AVE
PASADENA, CA 91101
Los Angeles County (626) 577-8480
MS. TSELANE L. GARDNER MA, MFT
Rehabilitation Counselor
447 N EL MOLINO AVE
PASADENA, CA 91101
Los Angeles County (626) 577-8480

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 Cynthia Jackson's NPI number?

The NPI number for Cynthia Jackson is 1235185653. It was assigned to this individual provider in the NPPES registry on May 26, 2006.

Where is Cynthia Jackson located?

Cynthia Jackson practices at 447 N El Molino Ave #2, Pasadena, CA 91101. The listed phone number is (626) 577-8480.

What is Cynthia Jackson's specialty?

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

Is Cynthia Jackson enrolled in Medicare?

Yes. Cynthia Jackson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Cynthia Jackson was last updated on July 20, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.