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

Individual provider Clinical Psychologist · NPI 1467577700

Dr. Jonathan M Jackson, PHD is a Clinical Psychologist in New York, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2007
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

140 Riverside Drive 1R
New York, NY 10024 Not confirmed with CMS for 19 years — call before visiting
Phone: (212) 580-5974
Fax: (516) 877-4844
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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 7000 (NY)

Record details

NPI number1467577700
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedMarch 19, 2007
Last updated in NPPESJuly 8, 2007

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