DR. MELISSA JACKSON PH.D.
NPI 1912106733
Psychologist - Counseling in Gloversville, NY
About Dr. Melissa Jackson Ph.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MELISSA JACKSON PH.D. (NPI 1912106733) is an individual counseling provider in Gloversville, New York, licensed in New York (018244) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS, maintains a secondary practice location in Scotia, and is a graduate of Other (2008).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Melissa 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.
Medicare Billing Reassignment
Medicare enrollment records show Melissa Jackson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Gloversville, NY 12078
- Reassigned Medicare billing, New York enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GLOVERSVILLE, NY 12078
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 Melissa Jackson's NPI number?
The NPI number for Melissa Jackson is 1912106733. It was assigned to this individual provider in the NPPES registry on July 12, 2007. The provider is also known as Dr. Melissa Carmel.
Where is Melissa Jackson located?
Melissa Jackson practices at 29 W Fulton St Ste D, Gloversville, NY 12078. The listed phone number is (518) 313-6105.
What is Melissa Jackson's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Counseling, with taxonomy code 103TC1900X.
Is Melissa Jackson enrolled in Medicare?
Yes. Melissa 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.
Which organization bills Medicare for Melissa Jackson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Melissa Jackson reassigns Medicare benefits to Jackson Psychological, PLLC (Gloversville, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Melissa Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Melissa Jackson was last updated on April 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.