Dr Carolyn Trish Jackson, PHD - Psychologist in Rome, NY

Dr Carolyn Trish Jackson, PHD is a Psychologist - Clinical based in Rome, New York. Dr Carolyn Trish Jackson is licensed to practice in New York (license number 018985) and her current practice location is 125 Brookley Rd, Rome, New York. She can be reached at her office (for appointments etc.) via phone at (315) 334-7100.

NPI number for Dr Carolyn Trish Jackson is 1457658437 and her current mailing address is 125 Brookley Rd, Rome, New York. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1457658437.

Contact Information

Dr Carolyn Trish Jackson, PHD
125 Brookley Rd,
Rome, NY 13441-4301
(315) 334-7100
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Carolyn Trish Jackson
GenderFemale
SpecialityPsychologist - Clinical
Location125 Brookley Rd, Rome, New York
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1457658437
  • Provider Enumeration Date: 02/28/2011
  • Last Update Date: 02/28/2011

Medical Identifiers

Medical identifiers for Dr Carolyn Trish Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457658437NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 018985 (New York)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Carolyn Trish Jackson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Carolyn Trish Jackson, PHD
125 Brookley Rd,
Rome, NY 13441-4301

Ph: (315) 334-7100
Dr Carolyn Trish Jackson, PHD
125 Brookley Rd,
Rome, NY 13441-4301

Ph: (315) 334-7100

Reviews and Comments


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