DR. LISA ANN JACKSON


Address: 4955 N Bailey Ave, Amherst, NY 14226-1206
Phone: 7168330292

DR. LISA ANN JACKSON (NPI# 1316071749) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1316071749
Entity Type Individual
Full Name DR. LISA ANN JACKSON
Credential PHD
Practice Address 4955 N Bailey Ave
Amherst
NY 14226-1206
Mailing Address 332 Dan Troy Dr
Williamsville
NY 14221-3514
Practice Telephone 7168330292
Practice Fax Number 7168330215
Mailing Telephone 7168394658
Enumeration Date 2007-03-15
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103G00000X Clinical Neuropsychologist 011968 NY Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NY 01474937 05

Other Providers LISA JACKSON

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1154711166 Lisa Jackson Psychologist 20111 Horace Harding Expy, Oakland Gardens, NY 11364-1639 2015-01-28
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1831468420 Lisa Nicole Jackson Licensed Practical Nurse 1599 Prospect Pl Apt 1e, Brooklyn, NY 11233-4451 2011-12-28
1992023030 Lisa Jackson Massage Therapist 7200 Sw 8th Ave Apt 9, Gainesville, FL 32607-1883 2010-05-13
1487844973 Lisa Nicole Jackson Obstetrics & Gynecology 89-06 135th St, Room 6a, Jamaica, NY 11418 2007-07-31
1497828826 Lisa Lanette Jackson Nurse Practitioner 1117 Chestnut St, Lewisville, AR 71845 2006-11-15
1972696516 Lisa Thompson Jackson Nurse Anesthetist, Certified Registered 1500 E. Woodrow Wilson, Jackson, MS 39216 2006-10-02

Office Location

Street Address 4955 N BAILEY AVE
City AMHERST
State NY
Zip Code 14226-1206

Providers in the same location

NPI Name Taxonomy Address Enumeration
1134114143 Howard C Wilinsky Psychiatry & Neurology 4955 N Bailey Ave, Ste 130, Amherst, NY 14226-1206 2005-09-15
1245675669 Paul R. Young Md Pllc Otolaryngology 4955 N Bailey Ave, Suite 202, Amherst, NY 14226-1206 2013-04-30
1710289772 Jean Marie Gargala Social Worker 4955 N Bailey Ave, Suite 214, Amherst, NY 14226-1206 2010-11-24
1922313113 Joshna Singh Psychiatry & Neurology 4955 N Bailey Ave, Suite No 130, Amherst, NY 14226-1206 2010-08-11
1184858458 Paul Raymond Young Otolaryngology 4955 N Bailey Ave, Suite 202, Amherst, NY 14226-1206 2009-05-14
1376784306 Amherst General Endoscopy Center LLC Clinic/Center 4955 N Bailey Ave, Suite 207, Amherst, NY 14226-1206 2009-03-21
1619150380 Howard C. Wilinsky, M.d., P.C. Psychiatry & Neurology 4955 N Bailey Ave, Ste 130, Amherst, NY 14226-1206 2007-12-17
1013043140 Anthony M. Avellanosa Neurological Surgery 4955 N Bailey Ave, Suite 201, Amherst, NY 14226-1206 2007-02-25
1013056829 Pamela Ann Myers Social Worker 4955 N Bailey Ave, Suite 130, Amherst, NY 14226-1206 2007-02-06
1285716597 John E. Northman Psychologist 4955 N Bailey Ave, Suite 204, Amherst, NY 14226-1206 2006-10-19
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1578175089 Rafael Khavis Dentist Dent Tower Suite 401, 3980 Sheridan Drive, Amherst, NY 14226 2020-08-18
1942846209 Anthony Constance Occupational Therapist Excelsior Orthopaedics, 3925 Sheridan Drive, Amherst, NY 14226 2019-11-21
1730743931 Mark Marcello Physical Therapy Assistant 4498 Main/harlem Rd Suite 24, Amherst, NY 14226 2019-04-24
1528531084 Kimberly Girdlestone Social Worker 3960 Harlem Road, Suite 6b, Buffalo, NY 14226 2019-01-08
1043781503 Justin Patrick Nelson Physical Therapist 4498 Main St. Suite 24, Amherst, NY 14226 2018-12-10
1962979195 Meghan Jim Dougher Student in an Organized Health Care Education/Training Program 167 Darwin Dr., Snyder, NY 14226 2018-10-25
1790260982 Orchard Park Dentalcare Pllc Clinic/Center 3302 Sheridan Dr, Buffalo, NY 14226 2018-10-03
1619472719 Rapha Family Medical Wellness PC Family Medicine 3610 Main Street, Amherst, NY 14226 2018-03-29
1790299832 Medical Ecp of Western New York P C Internal Medicine 4330 Maple Rd Ste 102, Amherst, NY 14226 2017-11-28
1841709425 Elisabeth Wagner Physical Therapy Assistant 4498 Main St., Suite 24, Amherst, NY 14226 2017-09-26
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Taxonomy Information

Taxonomy Code 103G00000X
Grouping Behavioral Health & Social Service Providers
Classification Clinical Neuropsychologist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1528245859 Thomas C. Garbett Clinical Neuropsychologist 14 Hickory Ln, Amherst, MA 01002-2845 2008-01-29
1215994207 Bradley John Crenshaw Clinical Neuropsychologist 79 S Pleasant St, Suite 6, Amherst, MA 01002-2370 2006-04-26
1558493148 Patricia Anne Schumm Clinical Neuropsychologist 48 N Pleasant St, 207, Amherst, MA 01002-1738 2007-03-10
1497850911 Dent Neurologic Group LLP Clinical Neuropsychologist 3980 Sheridan Dr, Suite 200, Amherst, NY 14226-1727 2006-09-13

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
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1720633860 Emily Kurlansik Clinical Neuropsychologist 300 W 55th St Apt 6c, New York, NY 10019-5164 2019-08-06
1174181382 Kayla Whearty Clinical Neuropsychologist 1554 Northern Blvd Ste 204, Manhasset, NY 11030-3054 2019-06-03
1447729595 Beth Krone Clinical Neuropsychologist 6818 Bay Cliff Ter, Brooklyn, NY 11220-5114 2018-11-19
1750860144 Linda Cristina Calderon Clinical Neuropsychologist 635 W 165th St Rm 633a, New York, NY 10032-3724 2018-08-07
1366936585 Nicole Feirsen Clinical Neuropsychologist 3307 Bainbridge Ave Fl 1, Bronx, NY 10467-2850 2018-06-20
1306349493 Abhishek Jaywant Clinical Neuropsychologist 525 E 68th St # F-1699g, New York, NY 10065-4870 2018-03-14
1043718505 Elsa Lee Clinical Neuropsychologist 25418 Northern Blvd Ste 3, Little Neck, NY 11362-1451 2018-01-30
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Competitor

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City AMHERST
Zip Code 14226

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Dataset Information

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.

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