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WARREN T JACKSON PHD
NPI 1396773750
Clinical Neuropsychologist in Dallas, TX

Active since June 28, 2006Opted out of Medicare · through Oct 1, 2027
3600 GASTON AVE, 1155 WADLEY TOWER, DALLAS, TX 75246(214) 820-5516(214) 820-5518 Get Directions Write a Review

NPPES record last updated: April 4, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Warren T Jackson Phd NPPES

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

WARREN T JACKSON PHD (NPI 1396773750) is an individual clinical neuropsychologist in Dallas, Texas, licensed in Texas (33275) and active in the NPI registry since June 2006. He has opted out of Medicare through October 1, 2027.

NPPES Registry Identity

NPI1396773750
Entity TypeIndividualMale
Primary Taxonomy103G00000X
Provider Legal NameWARREN T JACKSONCredential: PHD
Location Address3600 GASTON AVE, 1155 WADLEY TOWERDallas, TX 75246-1800
Mailing Address3600 Gaston Ave, 1155 Wadley TowerDallas, TX 75246-1800 · (214) 820-5516 · Fax (214) 820-5518
Phone(214) 820-5516
Fax(214) 820-5518
Sole ProprietorNo
Enumeration DateJune 28, 2006
Last NPPES UpdateApril 4, 2022
NPPES CertifiedApril 4, 2022
✔ NPI 1396773750 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 TX · 33275
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.

3600 GASTON AVE, Dallas, TX 75246
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Warren T Jackson Phd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2025 through October 1, 2027.

Opt-Out Effective DateOctober 1, 2025
Opt-Out In Effect ThroughOctober 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

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.

NORMAN SLUSHER M.D.
Ophthalmology
3600 GASTON AVE, STE 964
DALLAS, TX 75246
Dallas County (214) 826-7470
DR. GEORGE JACKSON SNIPES JR. M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
3600 GASTON AVE, WADLEY TOWER, #261
DALLAS, TX 75246
Dallas County (214) 823-6492
HEALTHTEXAS PROVIDER NETWORK - CARDIO-THORACIC SERVICES LLP
Thoracic Surgery (Cardiothoracic Vascular Surgery)
3600 GASTON AVE, STE 404
DALLAS, TX 75246
Dallas County (214) 827-3890
HEALTHTEXAS PROVIDER NETWORK-NEUROSURGICAL ASSOCIATES, LLP
Neurological Surgery
3600 GASTON AVE, STE 1158-WADLEY
DALLAS, TX 75246
Dallas County (214) 820-8585
HEALTHTEXAS PROVIDER NETWORK-ORTHOPEDIC SERVICES, LLP
Orthopaedic Surgery
3600 GASTON AVE, STE 1101
DALLAS, TX 75246
Dallas County (214) 820-8350
HEALTHTEXAS PROVIDER NETWORK
Orthopaedic Surgery
3600 GASTON AVE, SUITE 1101
DALLAS, TX 75246
Dallas County (214) 820-7010
ANNAH M KING OTR/L, CHT
Specialist
3600 GASTON AVE, SUITE 450
DALLAS, TX 75246
Dallas County (214) 823-5351
DR. MARYAM ZAMANIAN MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
3600 GASTON AVE, SUITE 454
DALLAS, TX 75246
Dallas County (214) 820-8940

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 Warren Jackson's NPI number?

The NPI number for Warren Jackson is 1396773750. It was assigned to this individual provider in the NPPES registry on June 28, 2006.

Where is Warren Jackson located?

Warren Jackson practices at 3600 Gaston Ave 1155 Wadley Tower, Dallas, TX 75246. The listed phone number is (214) 820-5516.

What is Warren Jackson's specialty?

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

Is Warren Jackson enrolled in Medicare?

No. Warren Jackson has opted out of Medicare through October 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Warren Jackson was last updated on April 4, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.