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DR. DONNA R. JACKSON DONNA JACKSON, PH.D.
NPI 1235280645
Psychologist - Clinical in Cincinnati, OH

Active since January 13, 2007Opted out of Medicare · through Oct 1, 2027
2724 MADISON RD, CINCINNATI, OH 45209(513) 631-9922 Get Directions Write a Review

NPPES record last updated: March 21, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Donna R. Jackson Donna Jackson, Ph.d. NPPES

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

DR. DONNA R. JACKSON DONNA JACKSON, PH.D. (NPI 1235280645) is an individual clinical provider in Cincinnati, Ohio, licensed in Ohio (2146) and active in the NPI registry since January 2007. She has opted out of Medicare through October 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1235280645
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. DONNA R. JACKSONCredential: DONNA JACKSON, PH.D.
Location Address2724 MADISON RDCincinnati, OH 45209-2209
Mailing Address2724 Madison RdCincinnati, OH 45209-2209 · (513) 631-9922
Phone(513) 631-9922
Sole ProprietorYes
Enumeration DateJanuary 13, 2007
Last NPPES UpdateMarch 21, 2016
✔ NPI 1235280645 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 OH · 2146
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.
2724 MADISON RD, Cincinnati, OH 45209
Open in Google Maps ↗

Other Identifiers 1

Medicare ID-Type UnspecifiedCP05961OH

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. Donna R. Jackson Donna Jackson, Ph.d. 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 October 1, 2019 through October 1, 2027.

Opt-Out Effective DateOctober 1, 2019
Opt-Out In Effect ThroughOctober 1, 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 45209 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
$166.65 typical visit price
range $54.34 – $166.65
Typical copayment $41.66 (range $13.58 – $41.66)
Most-billed visit code 99205
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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

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

MR. DAVID PAUL KNISKERN PSY.D.
Psychologist (Clinical)
2724 MADISON RD
CINCINNATI, OH 45209
Hamilton County (513) 631-9922

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 Donna Jackson's NPI number?

The NPI number for Donna Jackson is 1235280645. It was assigned to this individual provider in the NPPES registry on January 13, 2007.

Where is Donna Jackson located?

Donna Jackson practices at 2724 Madison Rd, Cincinnati, OH 45209. The listed phone number is (513) 631-9922.

What is Donna Jackson's specialty?

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

Is Donna Jackson enrolled in Medicare?

No. Donna Jackson has opted out of Medicare through October 1, 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 Donna Jackson was last updated on March 21, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.