DR. SHELLI SHULTZ JACKSON PH.D.
NPI 1033129010
Psychologist in Norman, OK

Active since August 09, 2006
2500 BOARDWALK STE 203, NORMAN, OK 73069(405) 329-8501(405) 253-0581 Get Directions Write a Review

NPPES record last updated: December 17, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 17, 2021, Dec 22, 2015 (2 updates tracked since 2015).

About Dr. Shelli Shultz Jackson Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SHELLI SHULTZ JACKSON PH.D. (NPI 1033129010) is an individual psychologist in Norman, Oklahoma, licensed in Oklahoma (922) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1033129010
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. SHELLI SHULTZ JACKSONCredential: PH.D.
Location Address2500 BOARDWALK STE 203Norman, OK 73069-6593
Mailing Address2500 Boardwalk Ste 203Norman, OK 73069-6593 · (405) 329-8501 · Fax (405) 253-0581
Fax(405) 253-0581
Sole ProprietorNo
Enumeration DateAugust 9, 2006
Last NPPES UpdateDecember 17, 20212 updates tracked since enumeration
NPPES CertifiedDecember 17, 2021
NPI 1033129010 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in OK · 922
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
2500 BOARDWALK STE 203, Norman, OK 73069

Other Identifiers 1

Medicaid100839280AOK

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist (Counseling)
2500 BOARDWALK STE 203
NORMAN, OK 73069

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shelli Jackson's NPI number?

The NPI number for Shelli Jackson is 1033129010. It was assigned to this individual provider in the NPPES registry on August 9, 2006.

Where is Shelli Jackson located?

Shelli Jackson practices at 2500 Boardwalk Ste 203, Norman, OK 73069. The listed phone number is (405) 329-8501.

What is Shelli Jackson's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Shelli Jackson was last updated on December 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.