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

Dr. Daniel L Jackson, MD

Individual provider Child & Adolescent Psychiatry Physician · NPI 1992874234

Dr. Daniel L Jackson, MD is a Psychiatry in Boston, Massachusetts. Graduated from Js Weill Medical College, Cornell University in 1964, 62 years ago. Practices with Colony Care Inc, a 29-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts.

Years since qualifying
62
Trained at
Js Weill Medical College, Cornell University
Licensed in
MA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

49 Robinwood Ave
Boston, MA 02130-2156
Phone: (617) 390-1204
Fax: (617) 390-1584
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Child & Adolescent Psychiatry Physician (primary) Taxonomy 2084P0804X · Licence 37404 (MA)

Record details

NPI number1992874234
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedNovember 8, 2006
Last updated in NPPESJuly 8, 2007
Mailing address115 Lowell Ave, Newtonville, MA 02460-1521

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Medical schoolJS WEILL MEDICAL COLLEGE, CORNELL UNIVERSITY
Graduated 1964 (62 years in practice)
Group practice Colony Care Inc — 29 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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