Dominique Jackson, PMHNP
NPI 1811696560 · Psychiatric/Mental Health Nurse Practitioner · New York, NY
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Dominique Jackson, PMHNP is a Psychiatric/Mental Health Nurse Practitioner provider in New York, NY (NPI 1811696560).
Provider details
- NPI number
- 1811696560
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PMHNP
- Sex
- Female
- Sole proprietor
- Yes
- License
- 767792 (NY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 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 (2)
- 2244 Bronx Park E Apt 2dBronx, NY 10467-7516Phone: (407) 924-3771
- 50 Glen St # 323Glen Cove, NY 11542-4304Phone: (516) 595-9659
Registry dates
- Enumerated
- 2023-03-01
- Last updated
- 2024-10-31
- Certified
- 2024-10-31
Frequently asked questions
- What is Dominique Jackson's NPI number?
- Dominique Jackson's National Provider Identifier (NPI) is 1811696560, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Dominique Jackson's specialty?
- Dominique Jackson is listed in the NPPES registry with a primary specialty of Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Dominique Jackson located?
- Dominique Jackson's practice location on file with NPPES is 148 Post Ave, New York, NY 10034-2667.
- What is Dominique Jackson's phone number?
- The practice phone number listed in the NPPES registry for Dominique Jackson is (845) 267-1400.
- Does Dominique Jackson accept Medicare?
- Dominique Jackson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Dominique Jackson's NPI active?
- Yes — Dominique Jackson's NPI (1811696560) is active in the NPPES registry as of the last update on 2024-10-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.