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

Dr. Lisa Jackson, PHD

Individual provider Psychologist · NPI 1811012669

Dr. Lisa Jackson, PHD is a Clinical Psychologist in Clifton Park, New York. Graduated from Tulane University School of Medicine in 2001, 25 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
25
Trained at
Tulane University School of Medicine
Licensed in
NY
In the registry since
2007
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

990 Route 146
Clifton Park, NY 12065-3617
Phone: (518) 581-9525
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cognitive & Behavioral Psychologist (primary) Taxonomy 103TB0200X · Licence 016988 (NY)
Psychologist Taxonomy 103T00000X · Licence 016988 (NY)

Record details

NPI number1811012669
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorYes
NPI enumeratedMarch 20, 2007
Last updated in NPPESJanuary 7, 2014

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolTULANE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2001 (25 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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