DR. ALEXANDRA JACKSON (PSYD) – Clinical Neuropsychologist, NPI 1285983759

DR. ALEXANDRA JACKSON (PSYD) is a healthcare provider. based in Brookline, Massachusetts. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSYD. They hold a License No. 9526 (MA). The NPI Number for DR. ALEXANDRA JACKSON (PSYD) is 1285983759

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
DR. ALEXANDRA JACKSON (PSYD)
NPI
1285983759
Phone
(617) 959-1010
Address
1368 BEACON ST STE 116
Enumeration Date
30 August 2012
Last Update Date
8 May 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6179591010
Graduation Year
2009 (17 years ago)
PAC ID
9436425535
Group Practice PAC ID
7214214725
Professional Enrollment ID
I20171017002539
Address ID
MA024462800BR1368XSTXX302
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:13State licenses:1Digital endpointsOther names

1,694 CLINICAL PSYCHOLOGIST in MA

Provider Addresses for DR. ALEXANDRA JACKSON (PSYD)

  • 1368 BEACON ST STE 116

    BROOKLINE, MA 024462800

    Phone: (617) 959-1010

    Fax: (617) 734-0734

    Type: Mailing

  • 133 Old Road To 9 Acre Cor

    Concord, MA 017424159

    Phone: (978) 387-8250

    Fax: (978) 287-8202

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-10-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20171017002539IClinical PsychologistMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02446)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7214214725View full group profile
NameSpecialtyState
Clinical PsychologistMA

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What identifier follows DR. ALEXANDRA JACKSON (PSYD) across health systems?
The NPI 1285983759 uniquely identifies DR. ALEXANDRA JACKSON (PSYD) in U.S. healthcare data.
Is DR. ALEXANDRA JACKSON (PSYD) currently accepting referrals based on NPI status?
Registry metadata lists DR. ALEXANDRA JACKSON (PSYD) as active.
How should patients interpret DR. ALEXANDRA JACKSON (PSYD)'s specialty?
The extract shows Clinical Neuropsychologist for DR. ALEXANDRA JACKSON (PSYD). Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. ALEXANDRA JACKSON (PSYD)?
DR. ALEXANDRA JACKSON (PSYD) is associated with Brookline, Massachusetts in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

Similar Providers

DR. MICHELLE L. IMBER (PH.D.)

Clinical Neuropsychologist
PO BOX 1927
NPI: 1346241932

DR. BONNIE WONG (PHD)

Clinical Neuropsychologist
55 Fruit St
NPI: 1215964853

SHARON L. ZIMMERMAN (PH.D.)

Clinical Psychologist
1101, Beacon Street, Brookline, Norfolk County, Massachusetts, 02215, United States
NPI: 1558381525

DR. RIMMA KOVALCIK (PSY.D.)

Clinical Psychologist
749;751, Heath Street, Chestnut Hill, Brookline, Norfolk County, Massachusetts, 02467, United States
NPI: 1033215173

JESSICA BOYATT (PSY.D.)

Clinical Psychologist
PO BOX 400155
NPI: 1245311885

DR. RAVI GATHA (PH.D.)

Counseling Psychologist
197, Pine Grove Street, Eliot Triangle, Needham Heights, Needham, Norfolk County, Massachusetts, 02404, United States
NPI: 1639251093

DR. ELISABETH MOES (PH.D., ABPP/ABCN)

Clinical Neuropsychologist
1180, Beacon Street, Coolidge Corner, Brookline, Norfolk County, Massachusetts, 02446, United States
NPI: 1972687440

DR. NEAL MCGRATH (PH.D.)

Clinical Neuropsychologist
133 Old Road To Nac Cor
NPI: 1184780561

DR. HUGH COFFMAN (PH.D.)

Clinical Child & Adolescent Psychologist
76 BEDFORD ST STE 17
NPI: 1043360936