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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1780017095

Dr. Alison Moon Jackson, PSYD is a Student in an Organized Health Care Education/Training Program in Menlo Park, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2013
Specialties on file
2
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

899 Santa Cruz Ave Ste 200
Menlo Park, CA 94025-4643
Phone: (650) 489-1617
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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 32476 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1780017095
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD
Sole proprietorYes
NPI enumeratedAugust 11, 2013
Last updated in NPPESJune 25, 2021
Certification dateJune 25, 2021
Mailing address899 Santa Cruz Ave Ste 200, Menlo Park, CA 94025-4643

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