Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1245219849 Individual Practitioner Male Practitioner

Dr. Robert E Jackson , PhD

Psychologist • Kapolei, HI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Robert Jackson, PhD is a certified Psychologist practicing in Kapolei, HI. With approximately 27 years of clinical experience since completing medical education in 1999, Dr. Jackson delivers high-quality medical care to the local community at 91-1010 SHANGRILA ST STE 105.

Dr. Jackson is affiliated with Crossroads Behavioral Health, Inc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

91-1010 Shangrila St Ste 105

Kapolei, HI 967072176

Telephone 8083774300
Fax 8084841129
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

1999

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Kapolei, HI

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
27 Yrs +6.0 yrs vs City Avg
City Avg: 21.0 Yrs
State Avg: 23.7 Yrs
Regional Practice Density
4 Specialists

Practicing in Kapolei, HI (276 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Jackson (27 Years) 27 Yrs
Kapolei Specialty Average (21.0 Years) 21.0 Yrs

Medical Specialties & State Licenses

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License HI PSY-809

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Hospital & Practice Group Affiliations

Crossroads Behavioral Health, Inc

91 -1010 Shangrila St, Kapolei, HI 967072176

Phone: 8083774300

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1194039230

Doctor of Psychology (Psy.D.)

NPI 1972903136

Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location March 13, 2019

Registered at 91-1010 SHANGRILA ST STE 105, KAPOLEI, HI 967072176 (Tel: 8083774300)

📍
Updated Business Mailing Address March 13, 2019

Registered at PO BOX 701089, KAPOLEI, HI 967091089 (Tel: 8083774300)

NPI Profile Active March 16, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location March 16, 2015

Registered at 1001 KAMOKILA BLVD STE 262, KAPOLEI, HI 967072095 (Tel: 8084841122)

📍
Updated Business Mailing Address March 16, 2015

Registered at 1001 KAMOKILA BLVD STE 262, KAPOLEI, HI 967072095 (Tel: 8084841122)

👤
Provider Name / Credentials Updated March 16, 2015

Recorded as ROBERT JACKSON, PH.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 16, 2015

Psychologist (License #PSY-809 in HI)

🟢
Initial NPI Registration & Enumeration January 11, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1245219849
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 11, 2006
Last Update: March 13, 2019
Sole Proprietor: No

Mailing Address

Po Box 701089

Kapolei, HI 967091089

Phone: 8083774300

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.