DR. JACKIE GILBERTSON


Address: 623 Quincy St, Suite 102, Rapid City, SD 57701-8231
Phone: 6054306364

DR. JACKIE GILBERTSON (NPI# 1952380289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1952380289
Entity Type Individual
Full Name DR. JACKIE GILBERTSON
Credential LICENSED PSYCHOLOGIS
Practice Address 623 Quincy St
Suite 102
Rapid City
SD 57701-8231
Mailing Address 623quincy
Suite 102
Rapid City
SD 57701-3619
Practice Telephone 6054306364
Practice Fax Number 6057169491
Mailing Telephone 6054306364
Mailing Fax Number 6057169491
Enumeration Date 2006-01-13
Last Update Date 2012-09-11
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist 276 SD SD Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
SD 6551113 05

Office Location

Street Address 623 QUINCY ST
SUITE 102
City RAPID CITY
State SD
Zip Code 57701-8231

Providers in the same location

NPI Name Taxonomy Address Enumeration
1124383435 Dr.jackiegilbertsonllc Community/Behavioral Health 623 Quincy St, 102, Rapid City, SD 57701-8231 2012-07-12
1881847341 Wendy Iszler Chiropractor 623 Quincy St, Suite 101, Rapid City, SD 57701-8231 2008-10-28

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1528623345 Julie Maas Counselor 625 1/2 Main St, Suite 1, Rapid City, SD 57701 2019-05-07
1972076024 Edgewood Rapid City LLC Assisted Living Facility 4001 Derby Lane, Rapid City, SD 57701 2019-01-10
1902300247 Theresa Gibbens Speech-Language Pathologist 3301 Grandview Drive, Rapid City, SD 57701 2018-03-21
1407355423 Arielle Leigh Loveridge Chiropractor 610 East Boulevard, Suite 1, Rapid City, SD 57701 2018-02-05
1083125082 Sarah Kirschman Nurse Practitioner 353 Fairmont Boulvevard, Rapid City, SD 57701 2017-10-17
1992225239 Kelsey Elizabeth Wondercheck Dentist 717 Meade Street, Suite 200, Rapid City, SD 57701 2017-06-27
1316476088 Rhianna Wickett Physical Therapist 420 E Saint Patrick St Ste 101, Rapid City, SD 57701 2017-06-07
1841727773 Cynthia A Gates Dietitian, Registered 2908 5th Street, Rapid City, SD 57701 2017-05-23
1811447758 Alyssa Marquardt Psychologist 433 Mt. Rushmore Road, Rapid City, SD 57701 2016-10-04
1578913232 .indian Health Service Clinic/Center 241 East Meade St, Rapid City, SD 57701 2016-06-14
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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy 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.
Notes: Source: American Psychological Association [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1578744504 Scovel Psychological and Counseling Services, Ltd Psychologist 636 Saint Anne St Ste 103, Rapid City, SD 57701-4694 2007-11-19
1306994967 Greg Swenson, Phd, Inc. Psychologist 929 Kansas City St, Suite 201, Rapid City, SD 57701-4105 2007-01-08
1811967607 Kari Ann Scovel Hendrickson Psychologist 2902 W Main St Ste 2, Rapid City, SD 57702-8174 2006-01-24
1679550065 Genni L. Goschke Psychologist 902 Columbus Street, Rapid City, SD 57701-3543 2005-12-27
1538156930 Mindy G Hedlund Psychologist 550 N 5th St, #302, Rapid City, SD 57701-1375 2005-09-30
1548256050 Roberta Ann Kramlich Psychologist 528 Quincy St, Rapid City, SD 57701-3628 2005-09-21
1790222008 Justine Ashokar Psychologist 803 Soo San Dr, Rapid City, SD 57702-3142 2017-01-24
1588048201 Bridgewater Behavioral Health, LLC Psychologist 902 Columbus St, Rapid City, SD 57701-3543 2015-07-13
1255757910 Kaylee Trottier Psychologist 7110 Jordan Dr, Rapid City, SD 57702-8738 2014-03-05
1356786917 Eric D. Traub Psychologist 902 Columbus St, Rapid City, SD 57701-3543 2013-05-08
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Competitor

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City RAPID CITY
Zip Code 57701

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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