DR. JOANNE JACKSON
NPI 1871711291
Psychologist in Croton On Hudson, NY

Active since April 23, 2007PECOS EnrolledAccepts Medicare Assignment
104 GRAND ST, CROTON ON HUDSON, NY 10520(914) 271-4415(914) 271-4415 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Joanne Jackson NPPES

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

DR. JOANNE JACKSON (NPI 1871711291) is an individual psychologist in Croton On Hudson, New York, licensed in New York (8206-1) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1984).

NPPES Registry Identity

NPI1871711291
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. JOANNE JACKSON
Location Address104 GRAND STCroton On Hudson, NY 10520-2305
Mailing Address341 Furnace Dock Rd, Condo 1, Ajpt. 7Cortlandt Manor, NY 10567-6534 · (914) 736-2235
Fax(914) 271-4415
Sole ProprietorYes
Medical School CMSOtherGraduated 1984
Enumeration DateApril 23, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1871711291 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 NY · 8206-1
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.

104 GRAND ST, Croton On Hudson, NY 10520

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. Joanne Jackson 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 ID6103710132
PECOS Enrollment IDI20040211000398
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.

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 Joanne Jackson's NPI number?

The NPI number for Joanne Jackson is 1871711291. It was assigned to this individual provider in the NPPES registry on April 23, 2007.

Where is Joanne Jackson located?

Joanne Jackson practices at 104 Grand St, Croton On Hudson, NY 10520. The listed phone number is (914) 271-4415.

What is Joanne Jackson's specialty?

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

Is Joanne Jackson enrolled in Medicare?

Yes. Joanne 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 Joanne Jackson was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.