Kezia Jackson, PSY.D.
NPI 1790233153ActiveIndividual· Psychologist, Clinical· Clayton, MO
Opted out of Medicare from July 2025 to July 2027. Psychologist, Clinical (PSY.D.) in Clayton, Missouri, licensed in MO, with an NPI issued in September 2016.
Overview
| NPI | 1790233153 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PSY.D. |
| Sole proprietor | No |
| NPI issued | Sep 14, 2016 |
| Last updated in NPPES | Oct 16, 2023 |
| Certified by provider | Oct 16, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | 2016035936 | MO |
| Psychologist | 103T00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Opt-out | Opted out Jul 25, 2025 – Jul 25, 2027 |
| Can order and refer | No |
During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.
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