DR. JACKIE GILBERTSON LICENSED PSYCHOLOGIS
NPI 1952380289
Psychologist in Rapid City, SD

Active since January 13, 2006PECOS EnrolledAccepts Medicare Assignment
623 QUINCY ST, SUITE 102, RAPID CITY, SD 57701(605) 430-6364(605) 716-9491 Get Directions Write a Review

NPPES record last updated: September 11, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jackie Gilbertson Licensed Psychologis NPPES

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

DR. JACKIE GILBERTSON LICENSED PSYCHOLOGIS (NPI 1952380289) is an individual psychologist in Rapid City, South Dakota, licensed in South Dakota (276 SD) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1984).

NPPES Registry Identity

NPI1952380289
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. JACKIE GILBERTSONCredential: LICENSED PSYCHOLOGIS
Location Address623 QUINCY ST, SUITE 102Rapid City, SD 57701-8231
Mailing Address623quincy, Suite 102Rapid City, SD 57701-3619 · (605) 430-6364 · Fax (605) 716-9491
Fax(605) 716-9491
Sole ProprietorYes
Medical School CMSOtherGraduated 1984
Enumeration DateJanuary 13, 2006
Last NPPES UpdateSeptember 11, 2012
NPI 1952380289 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 SD · 276 SD
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.
623 QUINCY ST, Rapid City, SD 57701

Other Identifiers 3

Medicare PINN57317ND
Medicaid6551113SD
Medicare PINS7317SD

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

Dr. Jackie Gilbertson Licensed Psychologis 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 ID7911908736
PECOS Enrollment IDI20070122000640
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.

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.

Community/Behavioral Health
623 QUINCY ST, 102
RAPID CITY, SD 57701
Chiropractor
623 QUINCY ST, SUITE 101
RAPID CITY, SD 57701

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 Jackie Gilbertson's NPI number?

The NPI number for Jackie Gilbertson is 1952380289. It was assigned to this individual provider in the NPPES registry on January 13, 2006.

Where is Jackie Gilbertson located?

Jackie Gilbertson practices at 623 Quincy St Suite 102, Rapid City, SD 57701. The listed phone number is (605) 430-6364.

What is Jackie Gilbertson's specialty?

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

Is Jackie Gilbertson enrolled in Medicare?

Yes. Jackie Gilbertson 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.

When was this NPI record last updated?

The NPPES record for Jackie Gilbertson was last updated on September 11, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.