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

Dr. Paul A Jackson, PHD

Individual provider Clinical Psychologist · NPI 1477112522

Dr. Paul A Jackson, PHD is a Clinical Psychologist in Oakland, California. Qualified in 1997, 29 years ago. Accepts Medicare assignment. Licensed in California.

Years since qualifying
29
Licensed in
CA
In the registry since
2019
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

459 W Macarthur Blvd
Oakland, CA 94609-2808
Phone: (510) 450-1830
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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 PSY30112 (CA)

Record details

NPI number1477112522
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedJune 12, 2019
Last updated in NPPESJune 12, 2019

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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