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

Dr. Jennifer L Jackson, PHD

Individual provider Clinical Psychologist · NPI 1336360247

Dr. Jennifer L Jackson, PHD is a Clinical Psychologist in Summit, New Jersey. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2007
Specialties on file
3
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

35 Deforest Ave
Summit, NJ 07901-2155
Phone: (917) 685-4207
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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 016536 (NY)
Clinical Child & Adolescent Psychologist Taxonomy 103TC2200X · Licence 016536 (NY)
Family Psychologist Taxonomy 103TF0000X · Licence 016536 (NY)

Record details

NPI number1336360247
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorYes
NPI enumeratedMay 1, 2007
Last updated in NPPESJuly 15, 2010
Mailing address35 Deforest Ave, Summit, NJ 07901-2155

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