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CYNTHIA JACKSON M.D.
NPI 1881128601
Psychiatry & Neurology - Child & Adolescent Psychiatry in Fayetteville, NY

Active since April 18, 2017PECOS Enrolled
5100 HIGHBRIDGE ST APT 47D, FAYETTEVILLE, NY 13066(202) 367-2678 Get Directions Write a Review

NPPES record last updated: September 28, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 28, 2022, Apr 18, 2017 (2 updates tracked since 2017).

About Cynthia Jackson M.d. NPPES

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

CYNTHIA JACKSON M.D. (NPI 1881128601) is an individual child & adolescent psychiatry provider in Fayetteville, New York, licensed in Maryland (D0089046) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1881128601
Entity TypeIndividualFemale
Primary Taxonomy2084P0804X
Provider Legal NameCYNTHIA JACKSONCredential: M.D.
Location Address5100 HIGHBRIDGE ST APT 47DFayetteville, NY 13066-2461
Mailing Address1741 Ashland AveBaltimore, MD 21205-1531 · (202) 367-2678
Phone(202) 367-2678
Sole ProprietorNo
Enumeration DateApril 18, 2017
Last NPPES UpdateSeptember 28, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 28, 2022
✔ NPI 1881128601 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in MD · D0089046
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
5100 HIGHBRIDGE ST APT 47D, Fayetteville, NY 13066
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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 (PECOS)

Cynthia Jackson M.d. 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.

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 Cynthia Jackson's NPI number?

The NPI number for Cynthia Jackson is 1881128601. It was assigned to this individual provider in the NPPES registry on April 18, 2017.

Where is Cynthia Jackson located?

Cynthia Jackson practices at 5100 Highbridge St Apt 47D, Fayetteville, NY 13066. The listed phone number is (202) 367-2678.

What is Cynthia Jackson's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Cynthia Jackson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Cynthia Jackson was last updated on September 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.