Kay Ellen Jackson, PH. D.
Psychologist · New York, NY
Kay Ellen Jackson, PH. D. is a psychologist with a practice address in New York, New York, and NPI 1417127945, issued on Mar 12, 2008. Check the license (New York 012747-1, as entered in NPPES) with the New York board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Kay Ellen Jackson
- Credential
- PH. D.
- Primary taxonomy
- Psychologist 103T00000X
- License number
- 012747-1 NY
Self-reported in NPPES; status is on the state search - Practice location
- 214 W 29TH St, New York, NY 10001
- Phone
- (212) 564-7631
- Enumerated
- Mar 12, 2008
- Record last updated
- Feb 1, 2017 (not updated in 9 years: call before relying on the address or phone)
- Medicare enrollment
- Enrolled (PECOS I20100823000885); accepts Medicare assignment
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest psychologist records → All 5,045 in New York → Look up another NPI →
Also registered at 214 W 29TH St
A shared address usually means a shared clinic or building; it does not show who employs whom.
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Verify Kay Ellen 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 012747-1Check 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
- Shiloh Consulting LLCNew York, NY
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Kay Ellen Jackson among 5,045 psychologist records in New York
Kay Ellen Jackson, PH. D. is one of 5,045 psychologist records with a practice address in New York. 6% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2008, is newer than 38% of them.
- NPI issued2008 · 38% of these records are older, 58% newer
- In a Medicare fileYes · 6% of these records are
- In the CMS Doctors and Clinicians fileYes · 15% of these records are
- Graduated1993 · median 1994 among the 766 with a school on file
- Record last updated2017 · 70% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 103T00000X and a New York practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
1,688 psychologist records list a practice address in New York
They are 1,688 of the 98,468 NPPES records with a practice address in New York, and 5,045 psychologist records in New York.
All 5,045 in New York → Every provider in New York → Psychologist nationwide →
The 8 psychologist records with the nearest ZIP codes
- Sarah Bench, PH.D.New York, NY 100011598732232
- Tamara Bryan, PHDNew York, NY 100011437174042
- Ilene Donin, PH.D.New York, NY 100011265538300
- Jill Emanuele, PHDNew York, NY 100011215007422
- Arlene Feinblatt, PH.D.New York, NY 100011184720039
- Susan Grodman, PHDNew York, NY 100011013093590
- David Layman, PHDNew York, NY 100011932121076
- Karen Mallimson, PSY.D.New York, NY 100011295800225
Common questions
What is Kay Ellen Jackson, PH. D.'s NPI number?
Kay Ellen Jackson, PH. D.'s National Provider Identifier (NPI) is 1417127945, issued on Mar 12, 2008. An NPI identifies a provider in billing; it is not a license.
Where is Kay Ellen Jackson, PH. D. located?
The NPPES record lists a practice address at 214 W 29TH St, New York, NY, 10001. Phone: (212) 564-7631. Providers update this record themselves, so call before visiting.
How can I verify Kay Ellen Jackson, PH. D.'s license?
NPPES lists New York license number 012747-1, 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.