Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1477769651 Individual Practitioner Female Practitioner

Dr. Debra Lynn Jackson , PhD

Psychologist • Eugene, OR

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Debra Jackson, PhD is a certified Psychologist practicing in Eugene, OR. With approximately 34 years of clinical experience since completing medical education in 1992, Dr. Jackson delivers high-quality medical care to the local community at 1892 WILLAMETTE ST.

Dr. Jackson accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

1892 Willamette St

Eugene, OR 974014404

Telephone 5414651885
Fax 5413444620
Associated Practice Facility / Clinic
🏢 Mind-Body Electric Facility NPI 1174775266

Medicare Profile & Education

Medical School

Other

Graduation Year

1992

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Eugene, OR

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
34 Yrs +15.0 yrs vs City Avg
City Avg: 19.0 Yrs
State Avg: 18.9 Yrs
Regional Practice Density
104 Specialists

Practicing in Eugene, OR (780 Statewide)

Telehealth Adoption Rate
7.7% 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 (34 Years) 34 Yrs
Eugene Specialty Average (19.0 Years) 19.0 Yrs

Medical Specialties & State Licenses

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License OR 1221

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

Commercial Insurance / Payer ID State License Number
1221 (OR)

Practice Associates & Co-Workers

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

4 Associated Practitioners
Cherie Bynum , LCSW

Social Worker - Clinical

NPI 1497824072

Licensed Clinical Social Worker

Richard Klotz

Psychologist - Clinical

NPI 1518024306
NPI 1649462862

Doctor of Philosophy (Ph.D.)

Judith Martin , LMFT

Marriage & Family Therapist

NPI 1912981184

Licensed Marriage and Family Therapist

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active December 10, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location December 10, 2008

Registered at 1892 WILLAMETTE ST, EUGENE, OR 974014404 (Tel: 5414651885)

📍
Updated Business Mailing Address December 10, 2008

Registered at 1892 WILLAMETTE ST, EUGENE, OR 974013383 (Tel: 5414651885)

👤
Provider Name / Credentials Updated December 10, 2008

Recorded as DEBRA JACKSON, PH.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 10, 2008

Psychologist (License #1221 in OR)

🟢
Initial NPI Registration & Enumeration May 15, 2007

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: 1477769651
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 15, 2007
Last Update: December 10, 2008
Sole Proprietor: Yes

Mailing Address

1892 Willamette St

Eugene, OR 974013383

Phone: 5414651885

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.