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DR. JONATHAN M JACKSON PHD
NPI 1467577700
Psychologist - Clinical in New York, NY

Active since March 19, 2007
140 RIVERSIDE DRIVE, 1R, NEW YORK, NY 10024(212) 580-5974(516) 877-4844 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Dr. Jonathan M Jackson Phd NPPES

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

DR. JONATHAN M JACKSON PHD (NPI 1467577700) is an individual clinical provider in New York, New York, licensed in New York (7000) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1467577700
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. JONATHAN M JACKSONCredential: PHD
Location Address140 RIVERSIDE DRIVE, 1RNew York, NY 10024
Mailing Address140 Riverside Drive, 1rNew York, NY 10024 · (212) 580-5974 · Fax (516) 877-4844
Phone(212) 580-5974
Fax(516) 877-4844
Sole ProprietorYes
Enumeration DateMarch 19, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1467577700 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 · 7000
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.
140 RIVERSIDE DRIVE, New York, NY 10024
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Other Identifiers 1

Medicare ID-Type UnspecifiedV20471NY

Other Providers at the Same Location NPPES 5

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

CARYN GORDEN PSY. D.
Psychologist
140 RIVERSIDE DRIVE, SUITE 1-0
NEW YORK, NY 10024
New York County (212) 579-1705
DR. NAOMI MILLER PHD ACSW
Social Worker (Clinical)
140 RIVERSIDE DRIVE, SUITE 1 0
NEW YORK, NY 10024
New York County (212) 296-9766
DR. CAROLYN SANDRA ELLMAN PHD
Psychologist (Clinical)
140 RIVERSIDE DRIVE
NEW YORK, NY 10024
New York County (212) 799-9509
MS. JUDITH L KATZ MSW LCSW
Social Worker (Clinical)
140 RIVERSIDE DRIVE, #1R
NEW YORK, NY 10024
New York County (212) 720-6020
DR. JEFFREY K HALPERN MD
Psychiatry & Neurology (Psychiatry)
140 RIVERSIDE DRIVE, SUITE 1-O
NEW YORK, NY 10024
New York County (212) 873-1542

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 Jonathan Jackson's NPI number?

The NPI number for Jonathan Jackson is 1467577700. It was assigned to this individual provider in the NPPES registry on March 19, 2007.

Where is Jonathan Jackson located?

Jonathan Jackson practices at 140 Riverside Drive 1R, New York, NY 10024. The listed phone number is (212) 580-5974.

What is Jonathan 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 Jonathan Jackson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.