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Dr. Shelli Shultz Jackson , PhD

Psychologist β€’ Norman, OK

Active NPI 1033129010 Individual Practitioner Female Practitioner
Practice location in NPPES

2500 Boardwalk Ste 203
Norman, OK 730696593

Call 4053298501 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2500 Boardwalk Ste 203

Norman, OK 730696593

Telephone 4053298501
Fax 4052530581
Organization at the Same NPPES Address or Phone
Shelli S. Jackson, Phd, Pllc Facility NPI 1760847255

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Norman and Oklahoma

38 active clinicians are listed under Psychologist with a practice address in Norman, OK (257 in Oklahoma).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Norman

10.5% of these 38 clinicians have the CMS telehealth indicator.

36.8% of these 38 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2021-12-17
Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

License # reported to NPPES OK 922

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Oklahoma State Board of Medical Licensure.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
100839280A (OK)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Practice Location December 17, 2021

Registered at 2500 BOARDWALK STE 203, NORMAN, OK 730696593 (Tel: 4053298501)

πŸ“
Updated Business Mailing Address December 17, 2021

Registered at 2500 BOARDWALK STE 203, NORMAN, OK 730696593 (Tel: 4053298501)

πŸ“
Updated Practice Location April 04, 2018

Registered at 2500 BOARDWALK STE 218, NORMAN, OK 730696664 (Tel: 4053298501)

πŸ“
Updated Business Mailing Address April 04, 2018

Registered at 2500 BOARDWALK STE 218, NORMAN, OK 730696664 (Tel: 4053298501)

βœ…
NPI Profile Active December 22, 2015

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) December 22, 2015

Registered at 510 24TH AVE SW, NORMAN, OK 730695106 (Tel: 4053297923)

πŸ“
Business Mailing Address (Initial Record) December 22, 2015

Registered at 510 24TH AVE SW, NORMAN, OK 730695106 (Tel: 4053297923)

πŸ‘€
Provider Name / Credentials (Initial Record) December 22, 2015

Recorded as SHELLI JACKSON, PH.D.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 22, 2015

Psychologist (license number reported to NPPES: OK 922)

🟒
Initial NPI Registration & Enumeration August 09, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1033129010
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 09, 2006
Last Update: December 17, 2021
Sole Proprietor: No

Other Psychologists in Norman

All Psychologists in Norman

Mailing Address

2500 Boardwalk Ste 203

Norman, OK 730696593

Phone: 4053298501

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.