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

Active since April 10, 2017PECOS EnrolledAccepts Medicare Assignment
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: August 09, 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, maintains a secondary practice location in Louisville, and is a graduate of University Of Louisville School Of Medicine (2018).

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
Sole ProprietorYes
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 2018
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

Secondary Practice Location 1

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

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Daniel Jackson is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3577800184
PECOS Enrollment IDI20221111000099
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.

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.

Physical Medicine & Rehabilitation
750 E ADAMS ST
SYRACUSE, NY 13210
Emergency Medicine
750 E ADAMS ST
SYRACUSE, NY 13210
Urology
750 E ADAMS ST
SYRACUSE, NY 13210
Pediatrics
750 E ADAMS ST
SYRACUSE, NY 13210
Emergency Medicine
750 E ADAMS ST
SYRACUSE, NY 13210
Student in an Organized Health Care Education/Training Program
750 E ADAMS ST
SYRACUSE, NY 13210
Student in an Organized Health Care Education/Training Program
750 E ADAMS ST
SYRACUSE, NY 13210
Student in an Organized Health Care Education/Training Program
750 E ADAMS ST
SYRACUSE, NY 13210

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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

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 2 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.