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DR. LISA ANN JACKSON PHD
NPI 1316071749
Clinical Neuropsychologist in Amherst, NY

Active since March 15, 2007
4955 N BAILEY AVE, AMHERST, NY 14226(716) 833-0292(716) 833-0215 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Lisa Ann Jackson Phd NPPES

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

DR. LISA ANN JACKSON PHD (NPI 1316071749) is an individual clinical neuropsychologist in Amherst, New York, licensed in New York (011968) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1316071749
Entity TypeIndividualFemale
Primary Taxonomy103G00000X
Provider Legal NameDR. LISA ANN JACKSONCredential: PHD
Location Address4955 N BAILEY AVEAmherst, NY 14226-1206
Mailing Address332 Dan Troy DrWilliamsville, NY 14221-3514 · (716) 839-4658
Phone(716) 833-0292
Fax(716) 833-0215
Sole ProprietorYes
Enumeration DateMarch 15, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1316071749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License✔ Licensed in NY · 011968
Definition
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.
4955 N BAILEY AVE, Amherst, NY 14226
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Other Identifiers 1

Medicaid01474937NY

Other Providers at the Same Location NPPES 10

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

DR. ANTHONY M. AVELLANOSA M.D.
Neurological Surgery
4955 N BAILEY AVE, SUITE 201
AMHERST, NY 14226
Erie County (716) 831-9520
PAUL RAYMOND YOUNG M.D.
Otolaryngology (Plastic Surgery within the Head & Neck)
4955 N BAILEY AVE, SUITE 202
AMHERST, NY 14226
Erie County (716) 832-8500
PAUL R. YOUNG MD PLLC
Otolaryngology
4955 N BAILEY AVE, SUITE 202
AMHERST, NY 14226
Erie County (716) 242-8240
DR. JOHN E. NORTHMAN PH.D., ABPP
Psychologist
4955 N BAILEY AVE, SUITE 204
AMHERST, NY 14226
Erie County (716) 833-5930
AMHERST GENERAL ENDOSCOPY CENTER LLC
Clinic/Center (Ambulatory Surgical)
4955 N BAILEY AVE, SUITE 207
AMHERST, NY 14226
Erie County (716) 831-8031
JOY B PARRISH PHD
Psychologist
4955 N BAILEY AVE
BUFFALO, NY 14226
Erie County (716) 859-7566
HOWARD C. WILINSKY, M.D., P.C.
Psychiatry & Neurology (Psychiatry)
4955 N BAILEY AVE, STE 130
AMHERST, NY 14226
Erie County (716) 835-1246
MRS. JEAN MARIE GARGALA LCSW-R
Social Worker (Clinical)
4955 N BAILEY AVE, SUITE 214
AMHERST, NY 14226
Erie County (717) 404-9765

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 Lisa Jackson's NPI number?

The NPI number for Lisa Jackson is 1316071749. It was assigned to this individual provider in the NPPES registry on March 15, 2007.

Where is Lisa Jackson located?

Lisa Jackson practices at 4955 N Bailey Ave, Amherst, NY 14226. The listed phone number is (716) 833-0292.

What is Lisa Jackson's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

When was this NPI record last updated?

The NPPES record for Lisa Jackson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.