Shelli Jackson, PHD
NPI 1326492026ActiveIndividual· Psychologist· San Marcos, CA
Psychologist (PHD) with The Halliday Center for Psychotherapy and Wellness, Inc, practicing in San Marcos, California. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1326492026 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHD |
| Sole proprietor | No |
| NPI issued | Apr 19, 2016 |
| Last updated in NPPES | Sep 27, 2020 |
| Certified by provider | Sep 27, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | 32087 | CA |
| Psychologist, Clinical | 103TC0700X | 32087 | CA |
| Psychologist, Cognitive & Behavioral | 103TB0200X | 32087 | CA |
| Psychologist, Health | 103TH0004X | 32087 | CA |
| Psychologist, Group Psychotherapy | 103TP2701X | 32087 | CA |
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 (CA) |
|---|
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Clinical Psychologist |
Medical group
- The Halliday Center for Psychotherapy and Wellness, IncSan Diego, CA · 10 clinicians
Other Psychologist providers in San Marcos
- 1619271517
- 1477785137
- 1447428271
- 1154377901
- 1902969124
- 1689920902
- 1447313846
- 1083021232