Wallace J. Jackmon, PHD
NPI 1427020957ActiveIndividual· Psychologist, Clinical· Sioux Falls, SD
Psychologist, Clinical (PHD) in Sioux Falls, South Dakota, licensed in SD, with an NPI issued in February 2006. Medicare paid $18,156 for services to 18 patients in 2024. Lists Avera McKennan Hospital & University Health Center as a hospital affiliation.
Overview
| NPI | 1427020957 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHD |
| Sole proprietor | No |
| NPI issued | Feb 7, 2006 |
| Last updated in NPPES | Oct 11, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | 477 | SD |
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 (SD) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 18 |
|---|---|
| Services billed | 187 across 6 procedure codes |
| Paid by Medicare | $18,156 |
Education and affiliations
| Graduation year | 2007 |
|---|---|
| Medicare specialty | Clinical Social Worker |
Hospital affiliation
- Avera McKennan Hospital & University Health CenterSioux Falls, SD
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All 35 clinical psychologists in Sioux Falls · All clinical psychologists in South Dakota