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DR. DANIEL L JACKSON M.D.
NPI 1992874234
Psychiatry & Neurology - Child & Adolescent Psychiatry in Boston, MA

Active since November 08, 2006PECOS EnrolledAccepts Medicare Assignment
49 ROBINWOOD AVE, BOSTON, MA 02130(617) 390-1204(617) 390-1584 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Daniel L Jackson M.d. NPPES

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

DR. DANIEL L JACKSON M.D. (NPI 1992874234) is an individual child & adolescent psychiatry provider in Boston, Massachusetts, licensed in Massachusetts (37404) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of Js Weill Medical College, Cornell University (1964).

NPPES Registry Identity

NPI1992874234
Entity TypeIndividualMale
Primary Taxonomy2084P0804X
Provider Legal NameDR. DANIEL L JACKSONCredential: M.D.
Location Address49 ROBINWOOD AVEBoston, MA 02130-2156
Mailing Address115 Lowell AveNewtonville, MA 02460-1521 · (617) 390-1204 · Fax (617) 390-1584
Phone(617) 390-1204
Fax(617) 390-1584
Sole ProprietorYes
Medical School CMSJs Weill Medical College, Cornell UniversityGraduated 1964
Enumeration DateNovember 8, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1992874234 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 MA · 37404
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.
49 ROBINWOOD AVE, Boston, MA 02130
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Other Identifiers 2

Medicare ID-Type Unspecified821046MA
Medicare UPINC65798MA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care, Providence Health Plan.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. Daniel L Jackson M.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 ID446320220
PECOS Enrollment IDI20080605000356
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 20

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

MS. LISA M PLUMLEY LICSW
Social Worker (Clinical)
49 ROBINWOOD AVE
BOSTON, MA 02130
Suffolk County (617) 522-4400
HAILEY ANN FISHER LCSW
Social Worker (Clinical)
49 ROBINWOOD AVE
BOSTON, MA 02130
Suffolk County (617) 522-4400
ARBOUR HOSPITAL
Psychiatric Hospital
49 ROBINWOOD AVE
BOSTON, MA 02130
Suffolk County (617) 522-4400
ROBYN A VENUTI LICSW
Case Manager/Care Coordinator
49 ROBINWOOD AVE
JAMAICA PLAIN, MA 02130
Suffolk County (617) 390-1372
MEGAN MARIE COONCE
Counselor (Mental Health)
49 ROBINWOOD AVE
JAMAICA PLAIN, MA 02130
Suffolk County (617) 390-1485
MARK I BIGELOW LMHC
Counselor (Mental Health)
49 ROBINWOOD AVE
JAMAICA PLAIN, MA 02130
Suffolk County (617) 390-1316
TOMASZ WAWRZYNIAK
Counselor
49 ROBINWOOD AVE
JAMAICA PLAIN, MA 02130
Suffolk County (781) 871-6550
DR. TAHIRA LODGE PHD
Counselor (Mental Health)
49 ROBINWOOD AVE
JAMAICA PLAIN, MA 02130
Suffolk County (617) 390-1220

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 Daniel Jackson's NPI number?

The NPI number for Daniel Jackson is 1992874234. It was assigned to this individual provider in the NPPES registry on November 8, 2006.

Where is Daniel Jackson located?

Daniel Jackson practices at 49 Robinwood Ave, Boston, MA 02130. The listed phone number is (617) 390-1204.

What is Daniel Jackson's specialty?

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

Is Daniel Jackson enrolled in Medicare?

Yes. Daniel 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 Daniel Jackson accept?

Health plans from Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care and Providence Health Plan list Daniel 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 Daniel Jackson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.