DR. KAY ELLEN JACKSON PH. D.
NPI 1417127945
Psychologist in New York, NY

Active since March 12, 2008PECOS EnrolledAccepts Medicare Assignment
214 W 29TH ST, SUITE 703, NEW YORK, NY 10001(212) 564-7631 Get Directions Write a Review

NPPES record last updated: February 1, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Kay Ellen Jackson Ph. D. NPPES

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

DR. KAY ELLEN JACKSON PH. D. (NPI 1417127945) is an individual psychologist in New York, New York, licensed in New York (012747-1) and active in the NPI registry since March 2008. She is enrolled in Medicare PECOS and is a graduate of Other (1993).

NPPES Registry Identity

NPI1417127945
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. KAY ELLEN JACKSONCredential: PH. D.
Location Address214 W 29TH ST, SUITE 703New York, NY 10001-5203
Mailing Address214 W 29th St, Suite 703New York, NY 10001-5203 · (212) 564-7631
Sole ProprietorYes
Medical School CMSOtherGraduated 1993
Enumeration DateMarch 12, 2008
Last NPPES UpdateFebruary 1, 2017
NPI 1417127945 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 NY · 012747-1
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.
214 W 29TH ST, New York, NY 10001

Other Identifiers 1

Other1417127945NY · Nppes

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

Dr. Kay Ellen Jackson Ph. D. 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 ID8224162516
PECOS Enrollment IDI20100823000885
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Group psychotherapy 90853
Group psychotherapy involves individuals discussing their issues in a group setting, led by a professional therapist. It provides a supportive environment where members can learn from each other's experiences, gain different perspectives, and develop new ways to handle challenges.
365 services18 patients
Psychotherapy, 30 minutes 90832
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.
245 services25 patients
Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
109 services13 patients

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.

Counselor (Mental Health)
214 W 29TH ST, SUITE 703
NEW YORK, NY 10001
Social Worker
214 W 29TH ST
NEW YORK, NY 10001
Acupuncturist
214 W 29TH ST, SUITE 901
NEW YORK, NY 10001
Physical Therapist
214 W 29TH ST, SUITE 901
NEW YORK, NY 10001
Community/Behavioral Health
214 W 29TH ST
NEW YORK, NY 10001
Counselor (Mental Health)
214 W 29TH ST, SUITE 703
NEW YORK, NY 10001
Acupuncturist
214 W 29TH ST, SUITE 901
NEW YORK, NY 10001
Acupuncturist
214 W 29TH ST, SUITE 901
NEW YORK, NY 10001

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 Kay Jackson's NPI number?

The NPI number for Kay Jackson is 1417127945. It was assigned to this individual provider in the NPPES registry on March 12, 2008.

Where is Kay Jackson located?

Kay Jackson practices at 214 W 29th St Suite 703, New York, NY 10001. The listed phone number is (212) 564-7631.

What is Kay Jackson's specialty?

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

Is Kay Jackson enrolled in Medicare?

Yes. Kay 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.

When was this NPI record last updated?

The NPPES record for Kay Jackson was last updated on February 1, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.