ALEXANDRA JACKSON (NPI# 1285983759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285983759 |
| Entity Type | Individual |
| Full Name | ALEXANDRA JACKSON |
| Credential | PSYD |
| Practice Address |
1368 Beacon St Ste 116 Brookline MA 02446-2800 |
| Practice Telephone | 6179591010 |
| Practice Fax Number | 6177340734 |
| Mailing Telephone | 6179591010 |
| Mailing Fax Number | 6177340734 |
| Enumeration Date | 2012-08-30 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 9526 | MA | Behavioral Health & Social Service Providers |
| N | 103T00000X | Psychologist | 9526 | MA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 133 Old Road To 9 Acre Cor, Concord, MA 017424159 | 9783878250 | 9782878202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083100861 | Alexandra Tatiana Jackson | Counselor | 1332 Elmira St, Aurora, CO 80010-3215 | 2018-07-05 |
| 1487158044 | Alexandra L Jackson | Chiropractor | 20 W Canal St Apt 221, Winooski, VT 05404-2133 | 2018-03-20 |
| 1720472400 | Alexandra Megan Jackson | Nurse Practitioner | 6301 Herndon Road, Durham, NC 27713 | 2015-03-20 |
| 1548384662 | Alexandra Sharon Jackson | Social Worker | 3231 Bixby Way, Stockton, CA 95209-1573 | 2007-03-16 |
| 1376026864 | Alexandra Taylor Jackson | Counselor | 500 E Chestnut Ave, Altoona, PA 16601-5215 | 2018-09-11 |
| Street Address |
1368 BEACON ST STE 116 |
| City | BROOKLINE |
| State | MA |
| Zip Code | 02446-2800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184780561 | Neal Mcgrath | Clinical Neuropsychologist | 1368 Beacon St Ste 116, Brookline, MA 02446-2800 | 2006-12-29 |
| 1962927947 | Vanessa D'orio | Clinical Neuropsychologist | 1368 Beacon St Ste 116, Brookline, MA 02446-2800 | 2017-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588218127 | Mohammad Ali Zafar | Social Worker | 11 Stearns Rd Apartment#1, Brookline, MA 02446 | 2019-08-01 |
| 1730659368 | Boston Family Therapy & Wellness Pllc | Clinic/Center | 1330 Beacon Street Suite 263, Brookline, MA 02446 | 2018-11-27 |
| 1518442078 | Elizabeth Dorsey | Social Worker | Boston Graduate School of Psychoanalysis, 1581 Beacon Street, Brookline, MA 02446 | 2018-10-01 |
| 1467936732 | Helen Elizabeth Weiner | Social Worker | 6 Churchill Sstreet, Brookline, MA 02446 | 2018-09-21 |
| 1285116640 | Dawn Higgins | Social Worker | 227 Summit Avenue W304, Brookline, MA 02446 | 2018-09-03 |
| 1528540978 | Shana Joan Turowitz | Social Worker | 156 Lawton Street, Brookline, MA 02446 | 2018-09-02 |
| 1528563996 | Lauren H Shin | Pediatrics | 150 Pleasant St Unit 309, Brookline, MA 02446 | 2018-03-28 |
| 1821512872 | Ilana Lindsay Cooper | Psychologist | 1093 Beacon St Ste 401, Brookline, MA 02446 | 2017-08-01 |
| 1538683735 | Elizabeth Apkin | Psychologist | 1330 Beacon Street Suite 201, Brookline, MA 02446 | 2017-07-29 |
| 1366963258 | Maria Antonietta Mazzola | Psychiatry & Neurology | 57 Manchester Rd, Brookline, MA 02446 | 2017-06-29 |
| Find all providers in zip 02446 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447394846 | Richard B Gould | Clinical Neuropsychologist | 99 Kent St # 7106, Brookline, MA 02445-7955 | 2007-02-18 |
| 1184780561 | Neal Mcgrath | Clinical Neuropsychologist | 1368 Beacon St Ste 116, Brookline, MA 02446-2800 | 2006-12-29 |
| 1639251093 | Ravi Gatha | Clinical Neuropsychologist | 41 Garrison Rd, Brookline, MA 02445-4445 | 2006-10-19 |
| 1912569617 | Jennifer Grace Forrester | Clinical Neuropsychologist | 1368 Beacon St, Brookline, MA 02446-2872 | 2019-07-02 |
| 1962927947 | Vanessa D'orio | Clinical Neuropsychologist | 1368 Beacon St Ste 116, Brookline, MA 02446-2800 | 2017-08-10 |
| 1700241130 | Samantha Johnston | Clinical Neuropsychologist | 26 Edgehill Rd, Brookline, MA 02445-7722 | 2015-12-30 |
| 1780052944 | University Neuropsychology, Inc. | Clinical Neuropsychologist | 364 Harvard St, Suite 1, Brookline, MA 02446-2920 | 2015-09-04 |
| 1407250863 | Kara M Fitzgerald | Clinical Neuropsychologist | 1180 Beacon St Ste 4b, Brookline, MA 02446 | 2014-10-14 |
| 1861636045 | University Neuropsychology, Inc. | Clinical Neuropsychologist | 364 Harvard St, Suite 1, Brookline, MA 02446-2920 | 2009-05-01 |
| 1043453137 | Neal Mcgrath, Ph.d. & Associates, P.C. | Clinical Neuropsychologist | 1368 Beacon St, Suite 116, Brookline, MA 02446-2872 | 2009-04-20 |
| Find all providers in BROOKLINE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.