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

Dr. Jackie M. Bosworth, MD

Individual provider Psychiatry Physician · NPI 1780813816

Dr. Jackie M. Bosworth, MD is a Psychiatry Physician in Brooklyn, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2009
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1 Brookdale Plz
Brooklyn, NY 11212-3139
Phone: (718) 240-8075
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence P56991 (NY)

Record details

NPI number1780813816
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 10, 2009
Last updated in NPPESJuly 10, 2009

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