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DR.JACKIEGILBERTSONLLC
NPI 1124383435
Community/Behavioral Health in Rapid City, SD

Active since July 12, 2012
623 QUINCY ST, 102, RAPID CITY, SD 57701(605) 430-6364(605) 716-9491 Get Directions Write a Review

NPPES record last updated: July 12, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr.jackiegilbertsonllc NPPES

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

DR.JACKIEGILBERTSONLLC (NPI 1124383435) is a healthcare organization registered as a community/behavioral health in Rapid City, South Dakota and active in the NPI registry since July 2012. The organization lists Jackie R Gilbertson, Psychologistlicensed, as its authorized official.

NPPES Registry Identity

NPI1124383435
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameDR.JACKIEGILBERTSONLLC
Location Address623 QUINCY ST, 102Rapid City, SD 57701-8231
Mailing Address623 Quincy St, 102Rapid City, SD 57701-8231 · (605) 430-6364 · Fax (605) 716-9491
Phone(605) 430-6364
Fax(605) 716-9491
Organization SubpartNo
Authorized OfficialJackie R GilbertsonPsychologistlicensed · (605) 430-6364
Enumeration DateJuly 12, 2012
✔ NPI 1124383435 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License✔ Licensed in SD · 276
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
623 QUINCY ST, Rapid City, SD 57701
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Other Identifiers 2

Medicare PINS7317MN
Medicaid6551113SD

Other Providers at the Same Location NPPES 2

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

DR. WENDY ISZLER D.C.
Chiropractor
623 QUINCY ST, SUITE 101
RAPID CITY, SD 57701
Meade County (605) 348-2116
DR. JACKIE GILBERTSON LICENSED PSYCHOLOGIS
Psychologist
623 QUINCY ST, SUITE 102
RAPID CITY, SD 57701
Meade County (605) 430-6364

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 Dr.Jackiegilbertsonllc's NPI number?

The NPI number for Dr.Jackiegilbertsonllc is 1124383435. It was assigned to this organization in the NPPES registry on July 12, 2012.

Where is Dr.Jackiegilbertsonllc located?

Dr.Jackiegilbertsonllc is located at 623 Quincy St 102, Rapid City, SD 57701. The listed phone number is (605) 430-6364.

What is Dr.Jackiegilbertsonllc's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Dr.Jackiegilbertsonllc was last updated on July 12, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.