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

Individual provider Cognitive & Behavioral Psychologist · NPI 1821293168

Jeffrey Mark Lackner, PSYD is a Clinical Psychologist in Buffalo, New York. Qualified in 1992, 34 years ago. Practices with Academic Medicine Services, Inc, a 116-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
34
Licensed in
NY
In the registry since
2007
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

462 Grider St Rm G208
Buffalo, NY 14215-3021
Phone: (716) 898-5671
Fax: (716) 898-3040
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cognitive & Behavioral Psychologist (primary) Taxonomy 103TB0200X · Licence 012051 (NY)

Record details

NPI number1821293168
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYD
Sole proprietorYes
NPI enumeratedJune 18, 2007
Last updated in NPPESJuly 8, 2007
Mailing addressPo Box 93, Amherst, NY 14226-0093

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1992 (34 years in practice)
Group practice Academic Medicine Services, Inc. — 116 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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