Dominique Jackson, PMHNP
Psychiatric/Mental Health Nurse Practitioner · New York, NY
Dominique Jackson, PMHNP is a psychiatric/mental health nurse practitioner with a practice address in New York, New York, and NPI 1811696560, issued on Mar 1, 2023. Check the license (New York 406069, as entered in NPPES) with the New York board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Dominique Jackson
- Credential
- PMHNP
- Primary taxonomy
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License numbers
- 406069 NY
767792 NY
Self-reported in NPPES; status is on the state search - Practice location
- 148 Post Ave, New York, NY 10034
- Phone
- (845) 267-1400
- Enumerated
- Mar 1, 2023
- Record last updated
- Oct 31, 2024
- Medicare enrollment
- Enrolled (PECOS I20241007001790); accepts Medicare assignment
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
Also registered at 148 Post Ave
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Gibson Ambrosio, BA/MA CASAC-TAddiction (Substance Use Disorder) Counselor1992651525
- Lucinda ReyesAddiction (Substance Use Disorder) Counselor1407233513
- Miguel RodriguezAddiction (Substance Use Disorder) Counselor1285592998
Verify Dominique Jackson in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich New York board licenses this profession
Search for license 406069Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- North Shore Psychiatric Consultants PCSmithtown, NY
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Psychiatric/Mental Health Nurse Practitioner providers in New York
There are 4,129 psychiatric/mental health nurse practitioner records in New York.
Other psychiatric/mental health nurse practitioner records in New York
- Lori Aavik, DNPNew York, NY1770398802
- Jeanne Abatemarco, N.P.P., M.S., R,NNew York, NY1043754989
- Geraldine Abbatiello, PHD, GNP, PMHNPChappaqua, NY1235314352
- Romane Abbensetts, PMHNPCommack, NY1437616240
- Arias Abbruzzi Davis, DNP-BCNew York, NY1073294377
- Nadine Abdellatif, DNP, PMHNPOrchard Park, NY1225613615
- Nikesha AbdoolBrooklyn, NY1508358011
- Kemi Abdul, PSYCHIATRIC NPBrooklyn, NY1437318755
- Bernadette Abeel, NURSE PRACTITIONERAlbany, NY1710657986
- Robert Abel, NURSE PRACTITIONERNew York, NY1215184445
Common questions
What is Dominique Jackson, PMHNP's NPI number?
Dominique Jackson, PMHNP's National Provider Identifier (NPI) is 1811696560, issued on Mar 1, 2023. An NPI identifies a provider in billing; it is not a license.
Where is Dominique Jackson, PMHNP located?
The NPPES record lists a practice address at 148 Post Ave, New York, NY, 10034. Phone: (845) 267-1400. Providers update this record themselves, so call before visiting.
How can I verify Dominique Jackson, PMHNP's license?
NPPES lists New York license number 406069, as entered by the provider. Search the New York board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.