DR. DANA JAMAL JACKSON PSYD.
NPI 1720245194
Psychologist - Clinical in Woodhaven, NY

Active since May 21, 2008PECOS Enrolled
7510 91ST AVE, WOODHAVEN, NY 11421(718) 298-2671(718) 296-4660 Get Directions Write a Review

NPPES record last updated: August 19, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Dana Jamal Jackson Psyd. NPPES

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

DR. DANA JAMAL JACKSON PSYD. (NPI 1720245194) is an individual clinical provider in Woodhaven, New York, licensed in New York (016903) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720245194
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. DANA JAMAL JACKSONCredential: PSYD.
Location Address7510 91ST AVEWoodhaven, NY 11421-2824
Mailing Address7510 91st AveWoodhaven, NY 11421-2824 · (847) 977-0609 · Fax (718) 927-9398
Fax(718) 296-4660
Sole ProprietorYes
Enumeration DateMay 21, 2008
Last NPPES UpdateAugust 19, 2013
NPI 1720245194 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 · 016903
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.
7510 91ST AVE, Woodhaven, NY 11421

Other Names 1

Professional Name (2)Dr. Dana Jamal Jackson Psyd.

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Dana Jamal 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11421 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$201.98 typical visit price
range $67.00 – $201.98
Typical copayment $50.49 (range $16.75 – $50.49)
Most-billed visit code 99205
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

Social Worker (Clinical)
7510 91ST AVE
WOODHAVEN, NY 11421

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 Dana Jackson's NPI number?

The NPI number for Dana Jackson is 1720245194. It was assigned to this individual provider in the NPPES registry on May 21, 2008. The provider is also known as Dr. Dana Jamal Jackson Psyd..

Where is Dana Jackson located?

Dana Jackson practices at 7510 91st Ave, Woodhaven, NY 11421. The listed phone number is (718) 298-2671.

What is Dana Jackson's specialty?

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

Is Dana Jackson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Dana Jackson was last updated on August 19, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.