Jackie Gilbertson, LICENSED PSYCHOLOGIS
NPI 1952380289ActiveIndividual· Psychologist· Rapid City, SD
Psychologist (LICENSED PSYCHOLOGIS) in Rapid City, South Dakota, licensed in SD, with an NPI issued in January 2006. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1952380289 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LICENSED PSYCHOLOGIS |
| Sole proprietor | Yes |
| NPI issued | Jan 13, 2006 |
| Last updated in NPPES | Sep 11, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | 276 SD | SD |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (SD) |
|---|
Education and affiliations
| Graduation year | 1984 |
|---|---|
| Medicare specialty | Clinical Psychologist |
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