JEFFREY MARK LACKNER PSY.D. NPI 1821293168

NPI Information

  • NPI: 1821293168
  • Provider Name: JEFFREY MARK LACKNER, PSY.D.
  • Classification: Psychologist - 103TB0200X
  • Specialization: Cognitive & Behavioral
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 462 GRIDER ST
    ROOM G208
    BUFFALO, NY
    ZIP 14215
  • Phone: (716) 898-5671

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NPI Details

Jeffrey Mark Lackner, PSY.D. is a cognitive and behavioral psychologist in Buffalo, NY with 34 years of experience. The provider is a psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking. Jeffrey Mark Lackner, PSY.D. NPI is 1821293168. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

462 GRIDER ST
ROOM G208
BUFFALO, NY
ZIP 14215-021
Phone: (716) 898-5671
Fax: (716) 898-3040

The NPI 1821293168 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 6/18/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TB0200XPsychologistCognitive & Behavioral012051NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100025302101OTHERNEW YORKUNIVERA
2000523299002OTHERNEW YORKBLUE CROSS
3AA0415MEDICARE ID-TYPE UNSPECIFIEDNEW YORK
4DF1724OTHERNEW YORKRR MEDICARE
56108856OTHERNEW YORKIHA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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