GREGORY CHRISTOPHER JACKSON PSYD
NPI 1568092088
Psychologist in San Francisco, CA

Active since January 23, 2020PECOS Enrolled
4141 GEARY BLVD, SAN FRANCISCO, CA 94118(415) 833-5067 Get Directions Write a Review

NPPES record last updated: March 28, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Feb 11, 2022, Jan 23, 2020 (2 updates tracked since 2020).

About Gregory Christopher Jackson Psyd NPPES

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

GREGORY CHRISTOPHER JACKSON PSYD (NPI 1568092088) is an individual psychologist in San Francisco, California, licensed in California (PSY31231) and active in the NPI registry since January 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1568092088
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameGREGORY CHRISTOPHER JACKSONCredential: PSYD
Location Address4141 GEARY BLVDSan Francisco, CA 94118-3109
Mailing Address4141 Geary BlvdSan Francisco, CA 94118-3109
Sole ProprietorYes
Enumeration DateJanuary 23, 2020
Last NPPES UpdateMarch 28, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 23, 2020
NPI 1568092088 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 CA · PSY31231
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.
4141 GEARY BLVD, San Francisco, CA 94118

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Gregory Christopher Jackson Psyd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

Psychologist (Clinical)
4141 GEARY BLVD, 3RD FLR
SAN FRANCISCO, CA 94118
Psychologist (Clinical)
4141 GEARY BLVD, AUTISM SPECTRUM DISORDERS CENTER, SAN FRANCISCO
SAN FRANCISCO, CA 94118
Psychologist (Health Service)
4141 GEARY BLVD, SUITE 212
SAN FRANCISCO, CA 94118
Internal Medicine
4141 GEARY BLVD
SAN FRANCISCO, CA 94118
Audiologist-Hearing Aid Fitter
4141 GEARY BLVD, FIRST FLOOR
SAN FRANCISCO, CA 94118
Psychologist (Health Service)
4141 GEARY BLVD, SUITE 212
SAN FRANCISCO, CA 94118
Audiologist
4141 GEARY BLVD, KAISER PERMANENTE - AUDIOLOGY CLINIC, 1ST FLOOR
SAN FRANCISCO, CA 94118
Psychologist
4141 GEARY BLVD, 3RD FLOOR
SAN FRANCISCO, CA 94118

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 Gregory Jackson's NPI number?

The NPI number for Gregory Jackson is 1568092088. It was assigned to this individual provider in the NPPES registry on January 23, 2020.

Where is Gregory Jackson located?

Gregory Jackson practices at 4141 Geary Blvd, San Francisco, CA 94118. The listed phone number is (415) 833-5067.

What is Gregory Jackson's specialty?

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

Is Gregory Jackson enrolled in Medicare?

Yes. Gregory Jackson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Gregory Jackson was last updated on March 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.