DR. LISA ANN JACKSON PHD
NPI 1316071749
Clinical Neuropsychologist in Amherst, NY
NPI Status: Active since March 15, 2007
Contact Information
4955 N BAILEY AVE
AMHERST, NY
ZIP 14226
Phone: (716) 833-0292
Fax: (716) 833-0215
- Individual
- Female
- Clinical Neuropsychologist
About LISA JACKSON
This page provides the complete NPI Profile along with additional information for Lisa Jackson, a provider established in Amherst, New York with a medical specialization in Clinical Neuropsychologist. The healthcare provider is registered in the NPI registry with number 1316071749 assigned on March 2007. The practitioner's primary taxonomy code is 103G00000X with license number 011968 (NY). The provider is registered as an individual and her NPI record was last updated 18 years ago.
- NPI
- 1316071749
- Provider Name
- DR. LISA ANN JACKSON PHD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 4955 N BAILEY AVE AMHERST, NY 14226
- Location Phone
- (716) 833-0292
- Location Fax
- (716) 833-0215
- Mailing Address
- 332 DAN TROY DR WILLIAMSVILLE, NY 14221
- Mailing Phone
- (716) 839-4658
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 03-15-2007
- Last Update Date
- 07-08-2007
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinical Neuropsychologist
- Taxonomy Code
- 103G00000X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 011968
- License State
- NY
- Taxonomy Description
- A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 01474937 | MEDICAID (05) | NY |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 1 | 6 | 0 | 7 | 1 | 7 | 4 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 2 | 6 | 0 | 7 | 2 | 7 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 2 + 6 + 0 + 7 + 2 + 7 + 8 + 24 = 61 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 61 = 9 | 9 | ||||||||
The NPI number 1316071749 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 11 providers are registered at the same or nearby location.
DR. HOWARD C WILINSKY M.D.
Psychiatry & Neurology
(Psychiatry)
4955 N BAILEY AVE
STE 130
AMHERST, NY
ZIP 14226
DR. JOHN E. NORTHMAN PH.D., ABPP
Psychologist
4955 N BAILEY AVE
SUITE 204
AMHERST, NY
ZIP 14226
DR. ANTHONY M. AVELLANOSA M.D.
Neurological Surgery
4955 N BAILEY AVE
SUITE 201
AMHERST, NY
ZIP 14226
HOWARD C. WILINSKY, M.D., P.C.
Psychiatry & Neurology
(Psychiatry)
4955 N BAILEY AVE
STE 130
AMHERST, NY
ZIP 14226
AMHERST GENERAL ENDOSCOPY CENTER LLC
Clinic/Center
(Ambulatory Surgical)
4955 N BAILEY AVE
SUITE 207
AMHERST, NY
ZIP 14226
JOY B PARRISH PHD
Psychologist
4955 N BAILEY AVE
BUFFALO, NY
ZIP 14226
MRS. JEAN MARIE GARGALA LCSW-R
Social Worker
(Clinical)
4955 N BAILEY AVE
SUITE 214
AMHERST, NY
ZIP 14226
PAUL RAYMOND YOUNG M.D.
Otolaryngology
(Plastic Surgery within the Head & Neck)
4955 N BAILEY AVE
SUITE 202
AMHERST, NY
ZIP 14226
DR. JOSHNA SINGH M.D
Psychiatry & Neurology
(Psychiatry)
4955 N BAILEY AVE
SUITE NO 130
AMHERST, NY
ZIP 14226
PAUL R. YOUNG MD PLLC
Otolaryngology
4955 N BAILEY AVE
SUITE 202
AMHERST, NY
ZIP 14226
DR. JEFFREY J VISCO M.D.
Colon & Rectal Surgery
4955 N BAILEY AVE
SUITE 205
AMHERST, NY
ZIP 14226
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1316071749, enumerated as an "individual" on March 15, 2007.
The provider is located at 4955 N BAILEY AVE AMHERST, NY 14226 and the phone number is (716) 833-0292.
Clinical Neuropsychologist with taxonomy code 103G00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
