DR. JENNIFER L JACKSON PHD
NPI 1336360247
Psychologist - Clinical in Summit, NJ

Q: What is Jennifer Jackson's NPI number?

The NPI number for Jennifer Jackson is 1336360247. It was assigned to this individual provider in the NPPES registry on May 1, 2007.

Q: What is Jennifer 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 Jennifer Jackson was last updated on July 15, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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 May 01, 2007

35 DEFOREST AVE, SUMMIT, NJ 07901(917) 685-4207 Get Directions Write a Review

NPPES record last updated: July 15, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Jennifer L Jackson Phd NPPES

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

DR. JENNIFER L JACKSON PHD (NPI 1336360247) is an individual clinical provider in Summit, New Jersey, licensed in New York (016536) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1336360247

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. JENNIFER L JACKSONCredential: PHD

Location Address35 DEFOREST AVESummit, NJ 07901-2155

Mailing Address35 Deforest AveSummit, NJ 07901-2155 · (917) 685-4207

Phone(917) 685-4207

Sole ProprietorYes

Enumeration DateMay 1, 2007

Last NPPES UpdateJuly 15, 2010

✔ NPI 1336360247 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in NY · 016536

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 ListedPsychologist · Clinical Child & AdolescentTaxonomy 103TC2200X · License 016536 (NY)

Also ListedPsychologist · FamilyTaxonomy 103TF0000X · License 016536 (NY)

35 DEFOREST AVE, Summit, NJ 07901

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Other Identifiers 1

Other4661NJ · License

Other Providers at the Same Location NPPES 11

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

DR. JOAN GLASS MORGAN PSY.D.

Psychologist (Clinical)