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

Dr. Robert E Jackson, PHD

Individual provider Psychologist · NPI 1245219849

Dr. Robert E Jackson, PHD is a Clinical Psychologist in Kapolei, Hawaii. Qualified in 1999, 27 years ago. Practices with Crossroads Behavioral Health, Inc, a 3-clinician group and accepts Medicare assignment. Licensed in Hawaii.

Years since qualifying
27
Licensed in
HI
In the registry since
2006
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

91-1010 Shangrila St Ste 105
Kapolei, HI 96707-2176
Phone: (808) 377-4300
Fax: (808) 484-1129
Show map & directions

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

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence PSY-809 (HI)

Record details

NPI number1245219849
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedJanuary 11, 2006
Last updated in NPPESMarch 13, 2019
Mailing addressPo Box 701089, Kapolei, HI 96709-1089

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Crossroads Behavioral Health, Inc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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