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Jackson Psychological, Pllc

Mental Health Clinic/Center (Including Community Mental Health Center) in Gloversville, NY · enumerated 2024 · authorized official Melissa Jackson, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1043072622

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Registry record

Entity type Organization (Type 2)
Legal business name Jackson Psychological, Pllc
Practice address 29 W Fulton St Ste D, Gloversville, NY, 12078
Phone (518) 313-6105
Fax (518) 205-7520
Enumeration date Jan 29, 2024
Last updated in NPPES Jan 29, 2024

Taxonomy & classification

261QM0801X Mental Health Clinic/Center (Including Community Mental Health Center) Ambulatory Health Care Facilities Primary

Authorized official

Name Melissa Jackson
Title Owner
Phone (518) 313-6105

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Jackson Psychological, Pllc?
Jackson Psychological, Pllc is registered in NPPES as a Mental Health Clinic/Center (Including Community Mental Health Center) (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-01-29.