Jaclyn Reckow, PHD
NPI 1144717604ActiveIndividual· Clinical Neuropsychologist· Grand Rapids, MI
Clinical Neuropsychologist (PHD) with Advantage Health/Saint Mary's Medical Group, practicing in Grand Rapids, Michigan. Medicare paid $8,346 for services to 42 patients in 2024. Lists Mercy Health Saint Mary's as a hospital affiliation.
Overview
| NPI | 1144717604 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHD |
| Sole proprietor | No |
| NPI issued | Apr 19, 2018 |
| Last updated in NPPES | Apr 19, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinical Neuropsychologist Primary | 103G00000X | 6301016942 | MI |
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) | Enrolled Practitioner - Clinical Psychologist (MI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 42 |
|---|---|
| Services billed | 136 across 9 procedure codes |
| Paid by Medicare | $8,346 |
Education and affiliations
| Graduation year | 2016 |
|---|---|
| Medicare specialty | Clinical Psychologist |
| Telehealth | Offers telehealth |
Medical group
- Advantage Health/Saint Mary's Medical GroupCaledonia, MI · 505 clinicians
Hospital affiliation
- Mercy Health Saint Mary'sGrand Rapids, MI
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