Dr Jacqueline Ds Jackson, PHD - Psychologist in Menlo Park, CA

Dr Jacqueline Ds Jackson, PHD is a Psychologist - Clinical based in Menlo Park, California. Dr Jacqueline Ds Jackson is licensed to practice in California (license number PSY8816) and her current practice location is 800 Menlo Ave, #209, Menlo Park, California. She can be reached at her office (for appointments etc.) via phone at (650) 321-5206.

NPI number for Dr Jacqueline Ds Jackson is 1033268909 and her current mailing address is 800 Menlo Ave, #209, Menlo Park, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1033268909.

Contact Information

Dr Jacqueline Ds Jackson, PHD
800 Menlo Ave, #209,
Menlo Park, CA 94025-4750
(650) 321-5206
Not Available



Healthcare Provider's Profile

Full NameDr Jacqueline Ds Jackson
GenderFemale
SpecialityPsychologist - Clinical
Location800 Menlo Ave, Menlo Park, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1033268909
  • Provider Enumeration Date: 01/09/2007
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Dr Jacqueline Ds Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033268909NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical PSY8816 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jacqueline Ds Jackson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Jacqueline Ds Jackson, PHD
800 Menlo Ave, #209,
Menlo Park, CA 94025-4750

Ph: (650) 321-5206
Dr Jacqueline Ds Jackson, PHD
800 Menlo Ave, #209,
Menlo Park, CA 94025-4750

Ph: (650) 321-5206

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Psychologist in Menlo Park, CA

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