Alexandra Jackson, PSYD

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

9526 Issued in MA

Practice address

1368 Beacon St Ste 116
Brookline, MA 02446-2800

Phone

(617) 959-1010

Fax

(617) 734-0734

NPI assigned

Aug 30, 2012

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Emerson Practice Associates, IncGroup PAC ID 8123188117, 247 clinicians

Neal McGrath PHD and Associates PCGroup PAC ID 7214214725, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Emerson Hospital - Hospital, W Concord, MA, CCN 220084

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ccn.alexandrajackson@140126.advancedmd-direct.com
• Direct secure messaging: jackson.alexandra.epa@direct.partners.masshiway.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Emerson Practice Associates, Inc.

  • Internal Medicine Physician
  • Concord, MA
  • NPI 1508020199
  Medicare reassignment Care Compare group NPD
• Neal McGrath, PH.D. & Associates, P.C.

  dba Sports Concussion New England

  • Clinical Neuropsychologist
  • Brookline, MA
  • NPI 1043453137
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Emerson Hospital

  • General Acute Care Hospital
  • Concord, MA
  • NPI 1922103357
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1346284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683504000000",
    "number": "1285983759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1368 BEACON ST STE 116",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024462800",
            "telephone_number": "617-959-1010",
            "fax_number": "617-734-0734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1368 BEACON ST STE 116",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024462800",
            "telephone_number": "617-959-1010",
            "fax_number": "617-734-0734"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "133 Old Road To 9 Acre Cor",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "MA",
            "postal_code": "017424159",
            "country_code": "US",
            "telephone_number": "978-387-8250",
            "fax_number": "978-287-8202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "ALEXANDRA",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-30",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MA",
            "license": "9526",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "MA",
            "license": "9526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• It Just Hurts LLC
• Magdalena Ivanova, MD
• Iveta Iontcheva-Barehmi DMD, PC
• Iveta Iontcheve-Barehmi DMD PC
• Sonia Jacard, PSYD
• Helen T Jackson, MD
• Daniel H Jacobs, M.D.
• Hilary C Jacobs, LICSW
• Richard L Jacobs, PSY D
• Sydney Jacobs, PHD

• Clinical Neuropsychologist in Brookline, MA
• Providers in Brookline, MA by specialty
• Clinical Neuropsychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.