Jackson Psychological, PLLC
NPI 1043072622 · Mental Health Clinic/Center (Including Community Mental Health Center) · Gloversville, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jackson Psychological, PLLC is a Mental Health Clinic/Center (Including Community Mental Health Center) organization in Gloversville, NY (NPI 1043072622).
Provider details
- NPI number
- 1043072622
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Melissa Jackson, Owner(518) 313-6105
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 106 Mohawk AveScotia, NY 12302-2248Phone: (518) 313-6105
Registry dates
- Enumerated
- 2024-01-29
- Last updated
- 2024-01-29
- Certified
- 2024-01-29
Frequently asked questions
- What is Jackson Psychological, PLLC's NPI number?
- Jackson Psychological, PLLC's National Provider Identifier (NPI) is 1043072622, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jackson Psychological, PLLC?
- Jackson Psychological, PLLC is classified in the NPPES registry as Mental Health Clinic/Center (Including Community Mental Health Center) (Ambulatory Health Care Facilities).
- Where is Jackson Psychological, PLLC located?
- Jackson Psychological, PLLC's practice location on file with NPPES is 29 W Fulton St Ste D, Gloversville, NY 12078-2937.
- What is Jackson Psychological, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Jackson Psychological, PLLC is (518) 313-6105.
- Does Jackson Psychological, PLLC accept Medicare?
- Jackson Psychological, PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Jackson Psychological, PLLC?
- The authorized official listed on Jackson Psychological, PLLC's NPPES record is Melissa Jackson, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jackson Psychological, PLLC's NPI active?
- Yes — Jackson Psychological, PLLC's NPI (1043072622) is active in the NPPES registry as of the last update on 2024-01-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.