Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jackson Psychological, PLLC

Organization Mental Health Clinic/Center (Including Community Mental Health Center) · NPI 1043072622

Jackson Psychological, PLLC is a Mental Health Clinic/Center (Including Community Mental Health Center) in Gloversville, New York. Works from 2 locations. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

29 W Fulton St Ste D
Gloversville, NY 12078-2937
Phone: (518) 313-6105
Fax: (518) 205-7520
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 106 Mohawk Ave, Scotia, NY 12302-2248 — (518) 313-6105

Specialties & licences

Mental Health Clinic/Center (Including Community Mental Health Center) (primary) Taxonomy 261QM0801X

Record details

NPI number1043072622
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Melissa Jackson — Owner · (518) 313-6105
NPI enumeratedJanuary 29, 2024
Last updated in NPPESJanuary 29, 2024
Certification dateJanuary 29, 2024
Mailing address29 W Fulton St Ste D, Gloversville, NY 12078-2937

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