DR. LISA JACKSON PH.D.
NPI 1811012669
Psychologist - Cognitive & Behavioral in Clifton Park, NY

Q: What is Lisa Jackson's NPI number?

The NPI number for Lisa Jackson is 1811012669. It was assigned to this individual provider in the NPPES registry on March 20, 2007.

Q: What is Lisa Jackson's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Cognitive & Behavioral, with taxonomy code 103TB0200X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Jackson was last updated on January 7, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since March 20, 2007PECOS EnrolledAccepts Medicare Assignment

990 ROUTE 146, CLIFTON PARK, NY 12065(518) 581-9525 Get Directions Write a Review

NPPES record last updated: January 7, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Lisa Jackson Ph.d. NPPES

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

DR. LISA JACKSON PH.D. (NPI 1811012669) is an individual cognitive & behavioral provider in Clifton Park, New York, licensed in New York (016988) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS and is a graduate of Tulane University School Of Medicine (2001).

NPPES Registry Identity

NPI1811012669

Entity TypeIndividualFemale

Primary Taxonomy103TB0200X

Provider Legal NameDR. LISA JACKSONCredential: PH.D.

Location Address990 ROUTE 146Clifton Park, NY 12065-3617

Mailing Address990 Route 146Clifton Park, NY 12065-3617 · (518) 265-5264

Phone(518) 581-9525

Sole ProprietorYes

Medical School CMSTulane University School Of MedicineGraduated 2001

Enumeration DateMarch 20, 2007

Last NPPES UpdateJanuary 7, 2014

✔ NPI 1811012669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · Cognitive & BehavioralBehavioral Health & Social Service Providers

Taxonomy Code103TB0200X

License✔ Licensed in NY · 016988

Definition

A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking.

Also ListedPsychologistTaxonomy 103T00000X · License 016988 (NY)

990 ROUTE 146, Clifton Park, NY 12065

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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. Lisa 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 ID9032201066

PECOS Enrollment IDI20070822001260

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

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.

Psychotherapy, 1 hour 90837

Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.

219 services12 patients

Other Providers at the Same Location NPPES 3

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

SPARANO CHIROPRACTIC ASSOCIATES

Chiropractor

990 ROUTE 146
CLIFTON PARK, NY 12065

Saratoga County (518) 371-2176

DR. CHRISTOPHER FRANCIS SPARANO D.C.

Chiropractor

990 ROUTE 146
CLIFTON PARK, NY 12065

Saratoga County (518) 371-2176

DR. ALICIA MICHELE SPARANO D.C.

Chiropractor

990 ROUTE 146
CLIFTON PARK, NY 12065

Saratoga County (518) 371-2176

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 Lisa Jackson's NPI number?

The NPI number for Lisa Jackson is 1811012669. It was assigned to this individual provider in the NPPES registry on March 20, 2007.

Where is Lisa Jackson located?

Lisa Jackson practices at 990 Route 146, Clifton Park, NY 12065. The listed phone number is (518) 581-9525.

What is Lisa Jackson's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Cognitive & Behavioral, with taxonomy code 103TB0200X.

Is Lisa Jackson enrolled in Medicare?

Yes. Lisa 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 Lisa Jackson was last updated on January 7, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.