DR. MELISSA JACKSON PH.D.
NPI 1912106733
Psychologist - Counseling in Gloversville, NY

Active since July 12, 2007PECOS EnrolledAccepts Medicare Assignment
29 W FULTON ST STE D, GLOVERSVILLE, NY 12078(518) 313-6105 Get Directions Write a Review

NPPES record last updated: April 22, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 22, 2024, Oct 10, 2018 (2 updates tracked since 2018).

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

NPI1912106733
Entity TypeIndividualFemale
Primary Taxonomy103TC1900X
Provider Legal NameDR. MELISSA JACKSONCredential: PH.D.
Location Address29 W FULTON ST STE DGloversville, NY 12078-2937
Mailing Address29 W Fulton St Ste DGloversville, NY 12078-2937 · (518) 313-6105
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateJuly 12, 2007
Last NPPES UpdateApril 22, 20242 updates tracked since enumeration
NPPES CertifiedApril 22, 2024
NPI 1912106733 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · CounselingBehavioral Health & Social Service Providers
Taxonomy Code103TC1900X
License Licensed in NY · 018244
Definition
A psychologist who specializes in general practice and health service. It focuses on how people function both personally and in their relationships at all ages. Counseling psychology addresses the emotional, social, work, school and physical health concerns people may have at different stages in their lives, focusing on typical life stresses and more severe issues with which people may struggle as individuals and as a part of families, groups and organizations. Counseling psychologists help people with physical, emotional and mental health issues improve their sense of well-being, alleviate feelings of distress and resolve crises. They also provide assessment, diagnosis, and treatment of more severe psychological symptoms.
29 W FULTON ST STE D, Gloversville, NY 12078

Other Names 1

Former Name (1)Dr. Melissa Carmel

Secondary Practice Location 1

Location 1106 Mohawk AveScotia, NY 12302-2248 · Phone (517) 313-6105

Accepted Insurance

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. 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.

PECOS PAC ID3476820432
PECOS Enrollment IDI20170522002621
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.

Other Providers at the Same Location NPPES

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

Clinic/Center (Mental Health (Including Community Mental Health Center))
29 W FULTON ST STE D
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.

What insurance does Melissa Jackson accept?

Health plans from Providence Health Plan list Melissa Jackson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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.