WALLACE J JACKMON PhD
NPI 1427020957
Psychologist, Clinical in Sioux Falls,


Quality Rating: 100 out of 100 score

NPI Status: Active since February 7, 2006

Contact Information

4400 W 69th St
Sioux Falls,
Post Code: 57108
Phone: (605) 322-5700
Fax: (605) 322-5704

Get Directions Be the first to review

Wallace J Jackmon Phd in Sioux Falls - Psychologist, Clinical

Wallace J Jackmon Phd is a Psychologist, Clinical in Sioux Falls, . Wallace J Jackmon Phd practices all healthcare services and medical treatments related to Psychologist, Clinical. The NPI Number for Wallace J Jackmon Phd is 1427020957. The last update date is 2018-10-11.

Wallace J Jackmon Phd's current location address is 4400 W 69th St, Sioux Falls, . You can contact this provider via phone number (605) 322-5700 and fax number (605) 322-5704. The mailing address for Wallace J Jackmon Phd is 4400 W 69th St, Sioux Falls, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1427020957
Provider Name
WALLACE J JACKMON PhD
Gender
Male
Entity Type
Individual
Location Address
4400 W 69th St, Sioux Falls,
Location Phone
(605) 322-5700
Location Fax
(605) 322-5704
Mailing Address
Po Box 86370, Sioux Falls, South Dakota(SD)
Mailing Phone
605-322-7510
Mailing Fax
605-322-6475
Enumeration Date
2006-02-07
Last Update Date
2018-10-11
Code Navigator

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychologist, Clinical

Taxonomy Code
103TC0700X
Type
-
License No.
477
License State
South Dakota (SD)
Taxonomy Description
-

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
0040537 Other (non-Medicare) (01) South Dakota (SD) Blue Cross
040121002 Other (non-Medicare) (01) Minnesota (MN) Primewest
12200 MEDICAID (05) North Dakota (ND)
140M8JA Other (non-Medicare) (01) Minnesota (MN) CC Systems/ Blue Plus
142415 Other (non-Medicare) (01) Minnesota (MN) Ucare
15096 Other (non-Medicare) (01) South Dakota (SD) Midlands Choice
20814 Other (non-Medicare) (01) South Dakota (SD) Sanford Health Plan
3989442 MEDICAID (05) Iowa (IA)
412991020844 Other (non-Medicare) (01) South Dakota (SD) Preferred One
46022474352 MEDICAID (05) Nebraska (NE)
57108C003 Other (non-Medicare) (01) South Dakota (SD) WPS Tricare
6552790 MEDICAID (05) South Dakota (SD)
6570753 MEDICAID (05) South Dakota (SD)
800013808 Other (non-Medicare) (01) South Dakota (SD) RR Medicare
854000 Other (non-Medicare) (01) South Dakota (SD) Araz/ America's PPO
9205351 Other (non-Medicare) (01) South Dakota (SD) Dakotacare
944611700 MEDICAID (05) Minnesota (MN)
HP37115 Other (non-Medicare) (01) South Dakota (SD) Healthpartners

Reviews for WALLACE J JACKMON PhD

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1427020957
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2447020910
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 2447020910
2 + 4 + 4 + 7 + 0 + 2 + 0 + 9 + 1 + 0 + 24 = 53
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 53 = 7 7

The NPI number 1427020957 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1043213861 JB SKIBINSKI
Individual
Dentist, Pediatric Dentistry 3813 S KIWANIS CIR
SIOUX FALLS, South Dakota (SD)
605-332-1095
1093718769 ELIZABETH J SAYLER
Individual
Internal Medicine 353 FAIRMONT BLVD
RAPID CITY, South Dakota (SD)
1407859341 PAULA ANN HICKS
Individual
Ophthalmology PO BOX 819
YANKTON, South Dakota (SD)
605-665-9638
1184627036 BLANCA LUCIA MARKY
Individual
Psychiatry & Neurology, Neurology 575 N SIOUX POINT RD
DAKOTA DUNES, South Dakota (SD)
605-217-2667
1336142272 GREGORY ALLAN KOURI
Individual
Optometrist 415 W 3RD ST
YANKTON, South Dakota (SD)
605-665-9638