Individual provider · Type 1 NPI

Jonathan M. Jackson, PhD

Clinical Psychologist · New York, NY

NPI number 1467577700 Active

Practice location

140 Riverside Drive, 1R
New York, NY 10024

Fax (516) 877-4844

Specialties and licenses

Taxonomy	Code	License
Clinical Psychologist Primary	103TC0700X	7000 (NY)

Clinical Psychologist: 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 discip…

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About NPI 1467577700

Jonathan M. Jackson, PhD's National Provider Identifier is 1467577700, issued on Mar 19, 2007. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in New York, NY. The record was last updated on Jul 8, 2007.