DR. CAROLYN TRISH JACKSON PHD
NPI 1457658437
Psychologist - Clinical in Rome, NY

Active since February 28, 2011
125 BROOKLEY RD, ROME, NY 13441(315) 334-7100 Get Directions Write a Review

NPPES record last updated: February 28, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Carolyn Trish Jackson Phd NPPES

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

DR. CAROLYN TRISH JACKSON PHD (NPI 1457658437) is an individual clinical provider in Rome, New York, licensed in New York (018985) and active in the NPI registry since February 2011.

NPPES Registry Identity

NPI1457658437
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. CAROLYN TRISH JACKSONCredential: PHD
Location Address125 BROOKLEY RDRome, NY 13441-4301
Mailing Address125 Brookley RdRome, NY 13441-4301 · (315) 334-7100
Sole ProprietorNo
Enumeration DateFebruary 28, 2011
NPI 1457658437 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in NY · 018985
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
125 BROOKLEY RD, Rome, NY 13441

Other Providers at the Same Location NPPES 16

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

Counselor
125 BROOKLEY RD
ROME, NY 13441
Physical Therapist
125 BROOKLEY RD
ROME, NY 13441
Physical Therapist
125 BROOKLEY RD
ROME, NY 13441
Social Worker (Clinical)
125 BROOKLEY RD
ROME, NY 13441
Registered Nurse
125 BROOKLEY RD
ROME, NY 13441
Social Worker (Clinical)
125 BROOKLEY RD
ROME, NY 13441
Physical Therapist
125 BROOKLEY RD, DONALD J. MITCHELL VA CLINIC
ROME, NY 13441
Social Worker (Clinical)
125 BROOKLEY RD
ROME, NY 13441

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 Carolyn Jackson's NPI number?

The NPI number for Carolyn Jackson is 1457658437. It was assigned to this individual provider in the NPPES registry on February 28, 2011.

Where is Carolyn Jackson located?

Carolyn Jackson practices at 125 Brookley Rd, Rome, NY 13441. The listed phone number is (315) 334-7100.

What is Carolyn Jackson's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Carolyn Jackson was last updated on February 28, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.