1. Home
  2. Directory
  3. New York
  4. Syracuse
  5. Psychiatry Neurology
  6. NPI Profile

DANIEL JACKSON
NPI 1366975989
Psychiatry & Neurology - Psychiatry in Syracuse, NY

Active since April 10, 2017PECOS Enrolled
750 E ADAMS ST, SYRACUSE, NY 13210(315) 464-5540 Get Directions Write a Review

NPPES record last updated: September 27, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 14, 2018, Apr 10, 2017 (2 updates tracked since 2017).

About Daniel Jackson NPPES

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

DANIEL JACKSON (NPI 1366975989) is an individual psychiatry provider in Syracuse, New York, licensed in Texas (U3550) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS and maintains a secondary practice location in Louisville.

NPPES Registry Identity

NPI1366975989
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDANIEL JACKSON
Location Address750 E ADAMS STSyracuse, NY 13210
Mailing Address750 E Adams StSyracuse, NY 13210-2306
Phone(315) 464-5540
Sole ProprietorYes
Enumeration DateApril 10, 2017
Last NPPES UpdateSeptember 27, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 27, 2023
✔ NPI 1366975989 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses✔ Licensed in TX · U3550✔ Licensed in NY · 300866✔ Licensed in WA · MD61477979
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
750 E ADAMS ST, Syracuse, NY 13210
Open in Google Maps ↗

Secondary Practice Location 1

Location 1500 S Preston St, Room 305Louisville, KY 40202-1702 · Phone (502) 852-8696

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Daniel Jackson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

6

Medicare enrollment records show Daniel Jackson reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychiatry Faculty Practice, Inc.
0.2 mi
Psychiatry
713 HARRISON ST
Syracuse, NY 13210
  • Reassigned Medicare billing, New York enrollment
  • 171 clinicians in this Medicare group
NPI 1881084820 (315) 464-3119
St Josephs Hospital Health Center
1.1 mi
General Acute Care Hospital
301 PROSPECT AVE, ADMINISTRATION
Syracuse, NY 13203
  • Reassigned Medicare billing, New York enrollment
  • 369 clinicians in this Medicare group
NPI 1508815333 (315) 448-5880
Cnypsychiatry
11 mi
Psychiatry
1/2 ORANGE ST STE 2
Marcellus, NY 13108
  • Reassigned Medicare billing, New York enrollment
  • 4 clinicians in this Medicare group
NPI 1972135416 (315) 671-2140
Valera Medical, P.A.
196 mi
Psychiatry
134 N 4TH ST
Brooklyn, NY 11249
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Valera Medical PA
  • 17 clinicians in this Medicare group
NPI 1871248757 (646) 450-7748
Valera Medical, P.C.
196 mi
Psychiatry
134 N 4TH ST
Brooklyn, NY 11249
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Valera Medical PC
  • 315 clinicians in this Medicare group
NPI 1437782349 (646) 450-7748
Multicare Health System
2,000 mi
Internal Medicine
15533 E BROADWAY AVE
Spokane Valley, WA 99037
  • Reassigned Medicare billing, Washington enrollment
  • 4,383 clinicians in this Medicare group
NPI 1336902345 (509) 530-4260

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13210 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
$166.88 typical visit price
range $54.87 – $166.88
Typical copayment $41.72 (range $13.71 – $41.72)
Most-billed visit code 99205
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
Most-billed visit code 99213
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 20

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

DAVID M KANTER MD
Physical Medicine & Rehabilitation
750 E ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 464-5820
BRENNAN ELLIS M.D.
Emergency Medicine
750 E ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 464-6202
UPSTATE UROLOGY, INC.
Urology
750 E ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 464-6106
DR. AUDREY VICTORIA VANDEWALL DO
Pediatrics
750 E ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 408-5854
BETHANY A HAWKE MD
Emergency Medicine
750 E ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 464-4363
BILLAL MOHMAND MD
Student in an Organized Health Care Education/Training Program
750 E ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 464-5240
DAYANA NASR MD
Student in an Organized Health Care Education/Training Program
750 E ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 464-5240
JARROD THOMAS ELLIS
Student in an Organized Health Care Education/Training Program
750 E ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 464-6635

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 Daniel Jackson's NPI number?

The NPI number for Daniel Jackson is 1366975989. It was assigned to this individual provider in the NPPES registry on April 10, 2017.

Where is Daniel Jackson located?

Daniel Jackson practices at 750 E Adams St, Syracuse, NY 13210. The listed phone number is (315) 464-5540.

What is Daniel Jackson's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Daniel Jackson enrolled in Medicare?

Yes. Daniel Jackson is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Daniel Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Daniel Jackson reassigns Medicare benefits to 6 organizations: Psychiatry Faculty Practice, Inc. (Syracuse, NY), St Josephs Hospital Health Center (Syracuse, NY), Cnypsychiatry (Marcellus, NY), Valera Medical, P.A. (Brooklyn, NY), Valera Medical, P.C. (Brooklyn, NY) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Daniel Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Daniel Jackson accept?

Health plans from Blue Cross and Blue Shield of Texas list Daniel Jackson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Daniel Jackson was last updated on September 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.