Wallace J Jackmon, PHD is a clinical psychologist in Sioux Falls, SD with 17 years of experience. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. Wallace J Jackmon, PHD NPI is 1427020957. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
4400 W 69TH ST
STE 1500
SIOUX FALLS, SD
ZIP 57108-170
Phone: (605) 322-5700
Fax: (605) 322-5704
The NPI 1427020957 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.
The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Psychotherapy, 60 minutes (HCPCS:90837)
The enumeration date for this NPI number is 2/7/2006 and was last updated on 10/11/2018.