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

Dr. Kay Ellen Jackson, PHD

Individual provider Psychologist · NPI 1417127945

Dr. Kay Ellen Jackson, PHD is a Clinical Psychologist in New York, New York. Qualified in 1993, 33 years ago. Practices with Shiloh Consulting LLC, a 3-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
33
Licensed in
NY
In the registry since
2008
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

214 W 29th St Ste 703
New York, NY 10001-5203
Phone: (212) 564-7631
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 012747-1 (NY)

Record details

NPI number1417127945
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorYes
NPI enumeratedMarch 12, 2008
Last updated in NPPESFebruary 1, 2017

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1993 (33 years in practice)
Group practice Shiloh Consulting Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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