Active NPIIndividual provider

Dr. Alexandra Jackson, PSYD

Clinical Neuropsychologist in Brookline, Massachusetts

NPI Number1285983759
Practice location
1368 Beacon St Ste 116, Brookline, MA 02446-2800
Fax
617-734-0734
Last updated
May 8, 2023

Alexandra Jackson is a Clinical Neuropsychologist based in Brookline, MA. Alexandra Jackson practices in Brookline, MA and has the professional credentials of PSYD. The NPI Number for Alexandra Jackson is 1285983759 and holds a License No. 9526 (MA). The current practice location address for Alexandra Jackson is 1368 Beacon St Ste 116, Brookline, MA 02446-2800 and can be reached out via phone at 617-959-1010 and via fax at 617-734-0734.

Provider Profile Details

NPI Number
1285983759
Provider Name
Alexandra Jackson
Credential
PSYD
Provider Entity Type
Individual
Gender
Female
Address
1368 Beacon St Ste 116, Brookline, MA 02446-2800
Phone Number
617-959-1010
Fax Number
617-734-0734
Primary Taxonomy
Clinical Neuropsychologist · 103G00000X
Sole Proprietor
No
Provider Enumeration Date
August 30, 2012
Last Update Date
May 8, 2023
Certification Date
May 8, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
1368 Beacon St Ste 116
Brookline, MA 02446-2800
Zip
02446-2800
Phone Number
617-959-1010
Fax Number
617-734-0734
Brookline, MA 02446Get directions →

Provider Business Mailing Address Details

Address
1368 Beacon St Ste 116
Brookline, MA 02446-2800
City
Brookline
State
MA
Zip
02446-2800
Phone Number
617-959-1010
Fax Number
617-734-0734

License Information

License Number (1)
9526
License State (1)
MA
Taxonomy (1)
Psychologist · 103T00000X
License Number (2)
9526
License State (2)
MA
Taxonomy (2)
Clinical Neuropsychologist · 103G00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Alexandra Jackson, PSYD?

The NPI number of Dr. Alexandra Jackson, PSYD is 1285983759. It was assigned on August 30, 2012 and is currently active in the NPPES registry.

What is the specialty of Dr. Alexandra Jackson, PSYD?

Dr. Alexandra Jackson, PSYD is registered under the primary taxonomy Clinical Neuropsychologist (code 103G00000X), licensed in MA under license number 9526.

Where does Dr. Alexandra Jackson, PSYD practice?

The practice location is 1368 Beacon St Ste 116, Brookline, MA 02446-2800. The office can be reached at 617-959-1010 (phone) or 617-734-0734 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1285983759 directly on the NPPES registry website.

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