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BROOKE P JACKSON PSY.D.
NPI 1962665067
Psychologist - Clinical in Kentfield, CA

Active since July 08, 2008PECOS EnrolledAccepts Medicare Assignment
1044 SIR FRANCIS DRAKE BLVD, SUITE 1, KENTFIELD, CA 94904(415) 609-2361 Get Directions Write a Review

NPPES record last updated: August 11, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Brooke P Jackson Psy.d. NPPES

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

BROOKE P JACKSON PSY.D. (NPI 1962665067) is an individual clinical provider in Kentfield, California, licensed in California (PSY 27339) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1962665067
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameBROOKE P JACKSONCredential: PSY.D.
Location Address1044 SIR FRANCIS DRAKE BLVD, SUITE 1Kentfield, CA 94904-1449
Mailing Address1044 Sir Francis Drake Blvd, Suite 1Kentfield, CA 94904-1449 · (415) 609-2361
Phone(415) 609-2361
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateJuly 8, 2008
Last NPPES UpdateAugust 11, 2015
✔ NPI 1962665067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in CA · PSY 27339
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
1044 SIR FRANCIS DRAKE BLVD, Kentfield, CA 94904
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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 and accepts Medicare assignment

Brooke P Jackson Psy.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 ID244540458
PECOS Enrollment IDI20151029002906
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
1,186 services34 patients
Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
37 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94904 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$202.63 typical visit price
range $69.07 – $202.63
Typical copayment $50.65 (range $17.26 – $50.65)
Most-billed visit code 99205
Established Patient
$119.61 typical visit price
range $23.44 – $166.64
Typical copayment $29.90 (range $5.86 – $41.66)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

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

MR. ANDREW MAXWELL LAMDEN LCSW
Social Worker (Clinical)
1044 SIR FRANCIS DRAKE BLVD
KENTFIELD, CA 94904
Marin County (415) 454-0736
BARBARA KALMANSON PH.D.
Psychologist (Clinical Child & Adolescent)
1044 SIR FRANCIS DRAKE BLVD
KENTFIELD, CA 94904
Marin County (415) 752-4705
JULIA GOMBOS
Marriage & Family Therapist
1044 SIR FRANCIS DRAKE BLVD, SUITE 8
KENTFIELD, CA 94904
Marin County (415) 250-9856
DR. STEVEN ALFRED FRANKEL M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
1044 SIR FRANCIS DRAKE BLVD
KENTFIELD, CA 94904
Marin County (415) 456-6611

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 Brooke Jackson's NPI number?

The NPI number for Brooke Jackson is 1962665067. It was assigned to this individual provider in the NPPES registry on July 8, 2008.

Where is Brooke Jackson located?

Brooke Jackson practices at 1044 Sir Francis Drake Blvd Suite 1, Kentfield, CA 94904. The listed phone number is (415) 609-2361.

What is Brooke Jackson's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Brooke Jackson enrolled in Medicare?

Yes. Brooke 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 Brooke Jackson was last updated on August 11, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.