DR. DANIEL L JACKSON (NPI# 1992874234) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992874234 |
| Entity Type | Individual |
| Full Name | DR. DANIEL L JACKSON |
| Credential | M.D. |
| Practice Address |
49 Robinwood Ave Boston MA 02130-2156 |
| Mailing Address |
115 Lowell Ave Newtonville MA 02460-1521 |
| Practice Telephone | 6173901204 |
| Practice Fax Number | 6173901584 |
| Mailing Telephone | 6173901204 |
| Mailing Fax Number | 6173901584 |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
37404 | MA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780043091 | Daniel Jackson | Occupational Therapy Assistant | 2906 Weatherstone Dr, Kirksville, MO 63501-5658 | 2016-02-15 |
| 1124342803 | Daniel Jackson | Dentist | 821 W Pine St, Poplar Bluff, MO 63901-4956 | 2010-03-24 |
| 1649354200 | Daniel Dewey Jackson | Dentist | 277 5th Street, Ashland, OR 97520 | 2006-10-24 |
| 1225042609 | Daniel Wayne Jackson Jr. | Psychologist | 1500 Norwood Dr, #205, Hurst, TX 76054-3651 | 2006-07-28 |
| 1972502391 | Daniel Mark Jackson | Optometrist | 713 N 114th St, Omaha, NE 68154-1515 | 2005-07-18 |
| 1639795776 | Daniel L Jackson | Occupational Therapist | 4015 Lake Otis Pkwy Ste 200, Anchorage, AK 99508-5235 | 2020-06-24 |
| 1902369549 | Daniel Brett Jackson | Student in an Organized Health Care Education/Training Program | 3690 Grandview Parkway, Pathology Department, Birmingham, AL 35243 | 2019-04-10 |
| 1366975989 | Daniel Jackson | Student in an Organized Health Care Education/Training Program | 750 E Adams St, Syracuse, NY 13210 | 2017-04-10 |
| 1689028516 | Daniel Jackson | Emergency Medicine | 5323 Harry Hines Blvd, Dallas, TX 75390-7201 | 2016-04-18 |
| 1750773388 | Daniel Jackson | Case Manager/Care Coordinator | 81557 Dr Carreon Blvd Ste C9, Indio, CA 92201-5562 | 2015-02-18 |
| Street Address |
49 ROBINWOOD AVE |
| City | BOSTON |
| State | MA |
| Zip Code | 02130-2156 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013482710 | Lisa M Plumley | Social Worker | 49 Robinwood Ave, Boston, MA 02130 | 2018-10-09 |
| 1730511080 | The Arbour, Inc | Psychiatric Hospital | 49 Robinwood Ave, Boston, MA 02130-2156 | 2013-08-08 |
| 1164757654 | Shana Heather Rackmill | Social Worker | 49 Robinwood Ave, Arbour Hospital- Social Work Department, Boston, MA 02130-2156 | 2009-10-16 |
| 1134351786 | Arbour Hospital | Psychiatric Hospital | 49 Robinwood Ave, Boston, MA 02130-2156 | 2009-08-17 |
| 1770766529 | Arbour Inc | Internal Medicine | 49 Robinwood Ave, Boston, MA 02130-2156 | 2007-12-14 |
| 1790835593 | James Howard Frisbie | Psychiatry & Neurology | 49 Robinwood Ave, Boston, MA 02130-2156 | 2007-01-12 |
| 1669522322 | Mary Doris Ruggere | Internal Medicine | 49 Robinwood Ave, Boston, MA 02130-2156 | 2007-01-12 |
| 1861561102 | Carlos A Neu | Psychiatry & Neurology | 49 Robinwood Ave, Boston, MA 02130-2156 | 2006-11-08 |
| 1790864098 | Rama Dronamraju | Psychiatry & Neurology | 49 Robinwood Ave, Boston, MA 02130-2156 | 2006-11-06 |
| 1427156496 | Barbara Jo Trockman | Internal Medicine | 49 Robinwood Ave, Boston, MA 02130-2156 | 2006-09-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952913121 | Virginia Dawn Pratt | Social Worker | Ethos, 555 Amory Street, Jamaica Plain, MA 02130 | 2020-08-19 |
| 1689139917 | Lina Skiba | Speech-Language Pathologist | Thom Child & Family Services, 555 Armory St, Jamaica Plain, MA 02130 | 2019-01-31 |
| 1841775442 | Melissa Rocklen | Social Worker | 30 Germania St Bldg C, Jamaica Plain, MA 02130 | 2018-09-28 |
| 1902389281 | Susan N. Berkman | Social Worker | 111 Perkins St., Apt.120, Jamaica Plain, MA 02130 | 2018-09-12 |
| 1326551912 | Cindy Tromp | Counselor | Arbour Hospital, 49 Robinwood Ave, Jamaica Plain, MA 02130 | 2017-11-06 |
| 1811415128 | Jesse Myles Carmen | Social Worker | 555 Armory Street, Jamaica Plain, MA 02130 | 2017-09-07 |
| 1881119410 | Melanie Suzanne Witman | Counselor | 1125 Centre Street, Boston, MA 02130 | 2017-08-04 |
| 1740702125 | Farah Clermont | Counselor | 3815 Washington St., Jamaica Plain, MA 02130 | 2017-07-07 |
| 1346777554 | Anjalie L Pieres | Counselor | 157 Green Streey, Jamaica Plain, MA 02130 | 2017-05-18 |
| 1316480098 | Caroline Amina Shaw-moss | Counselor | 7 Burr St., Boston, MA 02130 | 2016-11-29 |
| Find all providers in zip 02130 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639603566 | Chayanin Foongsathaporn | Psychiatry & Neurology | Tufts Medical Center 800 Washington Street #1007, Boston, MA 02111 | 2017-04-18 |
| 1740505353 | Erica Lisa Greenberg | Psychiatry & Neurology | 185 Cambridge St Ste 2000, Boston, MA 02114 | 2010-04-07 |
| 1851534788 | Serena Fernandes | Psychiatry & Neurology | 300 Longwood Ave # Fegan8, Boston, MA 02115-5724 | 2009-04-07 |
| 1316026685 | Joseph John Jankowski | Psychiatry & Neurology | 750 Washington St # 1007, Boston, MA 02111-1526 | 2006-11-06 |
| 1659305316 | Sara M Salek | Psychiatry & Neurology | Children's Hospital, 300 Longwood Ave, Boston, MA 02115 | 2006-07-10 |
| 1568409209 | Myron L Belfer | Psychiatry & Neurology | 25 Shattuck Street, Harvard Medical School, Boston, MA 02115 | 2006-06-01 |
| 1295266104 | Stephanie Ann Stramotas | Psychiatry & Neurology | 300 Longwood Ave # Fegan8, Boston, MA 02115-5724 | 2017-03-22 |
| 1588018733 | Nicholas H Skefos | Psychiatry & Neurology | 300 Longwood Ave, Boston, MA 02115-5724 | 2016-04-13 |
| 1881085744 | Emily Olsen Hall | Psychiatry & Neurology | 300 Longwood Ave, Boston, MA 02115-5724 | 2015-02-13 |
| 1316201080 | Jung Won Kim | Psychiatry & Neurology | 300 Longwood Ave, Boston, MA 02115-5724 | 2012-06-27 |
| Find all providers in BOSTON | ||||
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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.