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

Individual provider Clinical Psychologist · NPI 1962665067

Brooke P Jackson, PSYD is a Clinical Psychologist in Kentfield, California. Qualified in 2013, 13 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
13
Licensed in
CA
In the registry since
2008
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

1044 Sir Francis Drake Blvd Ste 1
Kentfield, CA 94904-1449
Phone: (415) 609-2361
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PSY 27339 (CA)

Record details

NPI number1962665067
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD
Sole proprietorYes
NPI enumeratedJuly 8, 2008
Last updated in NPPESAugust 11, 2015
Mailing address1044 Sir Francis Drake Blvd, Suite 1, Kentfield, CA 94904-1449

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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