DR. COLLEEN ELIZABETH JACKSON PHD
NPI 1952765661
Clinical Neuropsychologist in Boston, MA
About Dr. Colleen Elizabeth Jackson Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. COLLEEN ELIZABETH JACKSON PHD (NPI 1952765661) is an individual clinical neuropsychologist in Boston, Massachusetts, licensed in Massachusetts (11211) and active in the NPI registry since April 2016. She has opted out of Medicare through March 3, 2028 and maintains a secondary practice location in Boston.
NPPES Registry Identity
Specialties & Licenses 3
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Dr. Colleen Elizabeth Jackson Phd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 3, 2022 through March 3, 2028.
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 Colleen Jackson's NPI number?
The NPI number for Colleen Jackson is 1952765661. It was assigned to this individual provider in the NPPES registry on April 8, 2016.
Where is Colleen Jackson located?
Colleen Jackson practices at 185 Devonshire Street Suite 902, Boston, MA 02110. The listed phone number is (617) 362-0588.
What is Colleen Jackson's specialty?
The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.
Is Colleen Jackson enrolled in Medicare?
No. Colleen Jackson has opted out of Medicare through March 3, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
When was this NPI record last updated?
The NPPES record for Colleen Jackson was last updated on August 31, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.
