Joann Michelle Jackson, PSY.D.
NPI 1194739904ActiveIndividual· Psychologist· South Bend, IN
Psychologist (PSY.D.) with Oaklawn Psychiatric Center Inc, practicing in South Bend, Indiana. Medicare paid $8,185 for services to 11 patients in 2024.
Overview
| NPI | 1194739904 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PSY.D. |
| Sole proprietor | No |
| NPI issued | Jul 28, 2006 |
| Last updated in NPPES | Sep 27, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | 20040982A | IN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (IN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 11 |
|---|---|
| Services billed | 126 across 5 procedure codes |
| Paid by Medicare | $8,185 |
Education and affiliations
| Graduation year | 1993 |
|---|---|
| Medicare specialty | Clinical Psychologist |
| Telehealth | Offers telehealth |
Medical group
- Oaklawn Psychiatric Center IncSouth Bend, IN · 67 clinicians
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