JACLYN RECKOW PHD
NPI 1144717604
Clinical Neuropsychologist in Grand Rapids, MI

Active since April 19, 2018PECOS EnrolledAccepts Medicare Assignment
245 CHERRY ST SE STE 104, GRAND RAPIDS, MI 49503(616) 685-5050(616) 685-8962 Get Directions Write a Review

NPPES record last updated: April 19, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jaclyn Reckow Phd NPPES

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

JACLYN RECKOW PHD (NPI 1144717604) is an individual clinical neuropsychologist in Grand Rapids, Michigan, licensed in Michigan (6301016942) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS, is affiliated with Mercy Health Saint Mary's, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1144717604
Entity TypeIndividualFemale
Primary Taxonomy103G00000X
Provider Legal NameJACLYN RECKOWCredential: PHD
Location Address245 CHERRY ST SE STE 104Grand Rapids, MI 49503-4607
Mailing Address1900 44th St SeKentwood, MI 49508-5008
Fax(616) 685-8962
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateApril 19, 2018
NPI 1144717604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License Licensed in MI · 6301016942
Definition

A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

245 CHERRY ST SE STE 104, Grand Rapids, MI 49503

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jaclyn Reckow Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9537414065
PECOS Enrollment IDI20180625000182
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Evaluation of neuropsychological test, each additional hour 96133
This service involves further evaluation of your neuropsychological test results beyond the initial hour. It helps to understand your cognitive functioning better, focusing on areas like memory, attention, and problem-solving skills.
49 services30 patients
Exam of neurobehavioral status, first hour 96116
An exam of neurobehavioral status is a medical procedure that evaluates your brain's functions. This includes assessing your cognitive abilities, emotional responses, and behavioral patterns. The first hour of the exam is typically dedicated to this initial evaluation.
36 services36 patients
Evaluation of neuropsychological test, first hour 96132
An evaluation of neuropsychological tests is a process to assess your brain's function. It involves tasks designed to measure cognitive abilities such as memory, attention, problem-solving, and language skills. The first hour involves initial testing and observation.
32 services32 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mercy Health Saint Mary's

Acute Care Hospitals · Grand Rapids, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230059
Location200 Jefferson Avenue SEGrand Rapids, MI 49503 · Kent County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 3

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

Psychiatry & Neurology (Neurology)
245 CHERRY ST SE STE 104
GRAND RAPIDS, MI 49503
Psychiatry & Neurology (Epilepsy)
245 CHERRY ST SE STE 104
GRAND RAPIDS, MI 49503
Psychiatry & Neurology (Neurology)
245 CHERRY ST SE STE 104
GRAND RAPIDS, MI 49503

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 Jaclyn Reckow's NPI number?

The NPI number for Jaclyn Reckow is 1144717604. It was assigned to this individual provider in the NPPES registry on April 19, 2018.

Where is Jaclyn Reckow located?

Jaclyn Reckow practices at 245 Cherry St SE Ste 104, Grand Rapids, MI 49503. The listed phone number is (616) 685-5050.

What is Jaclyn Reckow's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Jaclyn Reckow enrolled in Medicare?

Yes. Jaclyn Reckow is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jaclyn Reckow accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Jaclyn Reckow as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jaclyn Reckow affiliated with any hospitals?

According to CMS data, Jaclyn Reckow is affiliated with Mercy Health Saint Mary's.

When was this NPI record last updated?

The NPPES record for Jaclyn Reckow was last updated on April 19, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.