Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JEFFREY JENKS PSYD
NPI 1366121956
Psychologist in Queensbury, NY

Active since July 12, 2023PECOS Enrolled
123 DIXON RD, QUEENSBURY, NY 12804(518) 260-8822 Get Directions Write a Review

NPPES record last updated: August 24, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 24, 2026, Jul 12, 2023 (2 updates tracked since 2023).

About Jeffrey Jenks Psyd NPPES

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

JEFFREY JENKS PSYD (NPI 1366121956) is an individual psychologist in Queensbury, New York, licensed in Michigan (6352000576) and active in the NPI registry since July 2023. He is enrolled in Medicare PECOS, maintains a secondary practice location in Cadillac, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1366121956
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameJEFFREY JENKSCredential: PSYD
Location Address123 DIXON RDQueensbury, NY 12804-2133
Mailing Address805 S Carmel StCadillac, MI 49601-2344
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJuly 12, 2023
Last NPPES UpdateAugust 24, 20262 updates tracked since enumeration
NPPES CertifiedAugust 24, 2026
NPI 1366121956 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in MI · 6352000576
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
123 DIXON RD, Queensbury, NY 12804

Secondary Practice Location 1

Location 1805 S Carmel StCadillac, MI 49601-2344 · Phone (231) 775-6517

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jeffrey Jenks Psyd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6901370527
PECOS Enrollment IDI20260706002064
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.

Other Providers at the Same Location NPPES 8

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

Psychologist (School)
123 DIXON RD
QUEENSBURY, NY 12804
Psychologist (Forensic)
123 DIXON RD
QUEENSBURY, NY 12804
Counselor (School)
123 DIXON RD
QUEENSBURY, NY 12804
Social Worker (Clinical)
123 DIXON RD
QUEENSBURY, NY 12804
Psychologist (Clinical)
123 DIXON RD
QUEENSBURY, NY 12804
Psychologist (Clinical)
123 DIXON RD
QUEENSBURY, NY 12804
Counselor (Mental Health)
123 DIXON RD
QUEENSBURY, NY 12804
Psychologist (Clinical)
123 DIXON RD
QUEENSBURY, NY 12804

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 Jeffrey Jenks's NPI number?

The NPI number for Jeffrey Jenks is 1366121956. It was assigned to this individual provider in the NPPES registry on July 12, 2023.

Where is Jeffrey Jenks located?

Jeffrey Jenks practices at 123 Dixon Rd, Queensbury, NY 12804. The listed phone number is (518) 260-8822.

What is Jeffrey Jenks's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Jeffrey Jenks enrolled in Medicare?

Yes. Jeffrey Jenks is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jeffrey Jenks was last updated on August 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days 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.