Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1033129010 Individual Practitioner Female Practitioner

Dr. Shelli Shultz Jackson , PhD

Psychologist • Norman, OK

Professional Overview & Biography Verified Profile Summary

Dr. Shelli Jackson, PhD is a registered healthcare professional specializing in Psychologist in Norman, OK. Practice services are available at 2500 BOARDWALK STE 203 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2500 Boardwalk Ste 203

Norman, OK 730696593

Telephone 4053298501
Fax 4052530581
Associated Practice Facility / Clinic
🏢 Shelli S. Jackson, Phd, Pllc Facility NPI 1760847255

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Norman, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 23.6 Yrs
State Avg: 27.1 Yrs
Regional Practice Density
41 Specialists

Practicing in Norman, OK (284 Statewide)

Telehealth Adoption Rate
9.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-12-17
Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License 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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
100839280A (OK)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location December 17, 2021

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

📍
Updated Business Mailing Address December 17, 2021

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

📍
Updated Practice Location April 04, 2018

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

📍
Updated Business Mailing Address April 04, 2018

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

NPI Profile Active December 22, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location December 22, 2015

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

📍
Updated Business Mailing Address December 22, 2015

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

👤
Provider Name / Credentials Updated December 22, 2015

Recorded as SHELLI JACKSON, PH.D.

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

Psychologist (License #922 in OK)

🟢
Initial NPI Registration & Enumeration August 09, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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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

Mailing Address

2500 Boardwalk Ste 203

Norman, OK 730696593

Phone: 4053298501

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.