MEDICARE: DR. JACKIE GILBERTSON LICENSED PSYCHOLOGIS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist	276 SD	SD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1952380289
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JACKIE GILBERTSON LICENSED PSYCHOLOGIS

Provider Business Mailing Address
First Line	:	623QUINCY
Second Line	:	SUITE 102
City	:	RAPID CITY
State	:	SD
Zip	:	57701-3619
Country	:	US
Telephone Number	:	605-430-6364
Fax Number	:	605-716-9491

Provider Business Practice Location Address
First Line	:	623 QUINCY ST
Second Line	:	SUITE 102
City	:	RAPID CITY
State	:	SD
Zip	:	57701-8231
Country	:	US
Telephone Number	:	605-430-6364
Fax Number	:	605-716-9491

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/13/2006
Last Update Date	:	09/11/2012

Similar Medicare Providers

1881847341 — DR. WENDY ISZLER D.C.
Practice Location Address:

623 QUINCY ST , SUITE 101
RAPID CITY, SD
57701-8231

Practice Phone: 605-348-2116
Practice Fax: 605-348-2613

1124383435 — DR.JACKIEGILBERTSONLLC
Practice Location Address:

623 QUINCY ST , 102
RAPID CITY, SD
57701-8231

Practice Phone: 605-430-6364
Practice Fax: 605-716-9491

1588136824 — BRANDON LEE SEAMAN
Practice Location Address:

1929 RAPID WATER WAY
YUBA CITY, CA
95991-8231

Practice Phone: 530-674-5529
Practice Fax:

1134585979 — MARCO KOSTANDY
Practice Location Address:

8231 MAUREEN DR
MIDWAY CITY, CA
92655-1613

Practice Phone: 714-605-8411
Practice Fax:

1083471593 — ALEX C DREBING RN
Practice Location Address:

6035 S WAKEFIELD WAY
SALT LAKE CITY, UT
84118-8231

Practice Phone: 801-860-0867
Practice Fax:

1215884341 — REEGIN KEHN DC
Practice Location Address:

811 DISK DR STE 104
RAPID CITY, SD
57701-7947

Practice Phone: 605-791-3222
Practice Fax:

Directions to “ DR. JACKIE GILBERTSON LICENSED PSYCHOLOGIS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.