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Active NPI 1891887758 Individual Practitioner Male Practitioner

Dr. Brian Frederick Jackson , PhD

Psychologist • Dover, NH

Professional Overview & Biography Verified Profile Summary

Dr. Brian Jackson, PhD is a registered healthcare professional specializing in Psychologist in Dover, NH. Practice services are available at 4 BACK RIVER RD under active NPI credentials.

Frequently performed procedures and clinical services include psychotherapy. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4 Back River Rd

Dover, NH 038204404

Telephone 6037421373
Fax 6037421373
Associated Practice Facility / Clinic
🏢 Alison Roux, Pllc Facility NPI 1942668298

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Dover, NH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.7 Yrs
State Avg: 29.4 Yrs
Regional Practice Density
12 Specialists

Practicing in Dover, NH (273 Statewide)

Telehealth Adoption Rate
16.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
0.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
90837 Psychotherapy, 60 minutes
175 11 $140.00 $139.40

Medical Specialties & State Licenses

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License NH 778

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
30007230 (NH)

Practice Associates & Co-Workers

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

7 Associated Practitioners
Dr. David Corriss , PhD

Psychologist - Clinical

NPI 1023153699

Doctor of Philosophy (Ph.D.)

Dr. Miriam Levy , PhD

Psychologist - Clinical

NPI 1205968583

Doctor of Philosophy (Ph.D.)

Lindsey Stevens , MSW, LCSW

Social Worker - Clinical

NPI 1639304074

Master of Social Work, Licensed Clinical Social Worker

Charles Inzer , LICSW

Social Worker - Clinical

NPI 1659486496

Licensed Independent Clinical Social Worker

NPI 1659736494

Doctor of Psychology (Psy.D.)

NPI 1780700799

Master of Social Work, Academy of Certified Social Workers, Licensed Independent Clinical Social Worker

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 4 BACK RIVER RD, DOVER, NH 038204404 (Tel: 6037421373)

📍
Updated Business Mailing Address July 08, 2007

Registered at 38 GARDEN LN, DURHAM, NH 038243040 (Tel: 6038683830)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as BRIAN JACKSON, PH.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Psychologist (License #778 in NH)

🟢
Initial NPI Registration & Enumeration September 29, 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: 1891887758
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 29, 2006
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

38 Garden Ln

Durham, NH 038243040

Phone: 6038683830

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.