Provider Profile

Dominique Jackson, PMHNP

Unclaimed Profile

About Dominique Jackson

Listed in the NPI registry as a nurse practitioner — psychiatric/mental health, Dominique Jackson, PMHNP practices in New York, NY. Dominique is also listed as specializing in registered nurse.

Summarised automatically from public NPI registry and CMS Medicare data. Not written or reviewed by this provider. Claim this profile to replace it — free, and no identity document with a practice or institutional email.

Education & Training

School Other Graduated: 2024

Specialty

Nurse Practitioner — Psychiatric/Mental Health (Primary)
Nurse Practitioner — Psychiatric/Mental Health (Additional)

Credentials & Licensing

NY license767792
NY license406069
NPI1811696560
NPI issued03/01/2023

License numbers are what the provider reported to NPPES when the NPI was issued or updated. NPPES does not verify licensure; confirm current standing with the state licensing board.

Medicare information

Accepts Medicare assignmentYes
Telehealth reported to CMSYes
Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What does Dominique Jackson specialize in?

Dominique Jackson is a nurse practitioner in New York, NY. That is the designation recorded for this NPI in the federal registry, where it is listed as “Nurse Practitioner — Psychiatric/Mental Health”.

NPI registry

Where is Dominique Jackson located?

Dominique Jackson is listed at 148 Post Ave, New York, NY 10034. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

What is Dominique Jackson's phone number?

The number on file is (845) 267-1400. Guide.md cannot book appointments or pass on messages — please call the office directly.

NPI registry

What is Dominique Jackson's NPI number?

Dominique Jackson's National Provider Identifier is 1811696560. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

Where did Dominique Jackson train?

Dominique Jackson attended Other, graduating in 2024. This comes from the CMS National Downloadable File.

CMS public data

How long has Dominique Jackson been practicing?

Dominique Jackson has 2 years experience. Calculated from a graduation year of 2024, reported in the CMS National Downloadable File.

CMS public data

Has Dominique Jackson confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by Dominique Jackson. If this is you, claiming it is free.

Guide.md

Provider data sourced from the NPPES NPI Registry and CMS public datasets. Information is provided for reference and is not medical advice.