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

Individual provider Rehabilitation Psychologist · NPI 1164760500

Dr. Kristen B Jackson, PHD is a Clinical Psychologist in Columbus, Ohio. Qualified in 2011, 15 years ago. Practices with Osu Physical Medicine and Rehabilitation LLC, a 35-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Ohio.

Years since qualifying
15
Licensed in
OH
In the registry since
2013
Specialties on file
2
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

480 Medical Center Dr
Columbus, OH 43210-1229
Phone: (614) 293-3830
Fax: (614) 293-4870
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rehabilitation Psychologist (primary) Taxonomy 103TR0400X · Licence P.6988 (OH)
Psychologist Taxonomy 103T00000X · Licence P.6988 (OH)

Record details

NPI number1164760500
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedJanuary 18, 2013
Last updated in NPPESAugust 5, 2026
Certification dateAugust 5, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Osu Physical Medicine And Rehabilitation Llc — 35 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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