Shantell Jackson, - Psychologist in Wickliffe, OH

Shantell Jackson, is a Psychologist - Intellectual & Developmental Disabilities based in Wickliffe, Ohio. Shantell Jackson is licensed to practice in Ohio (license number 4303862) and her current practice location is 1834 Robindale St, Wickliffe, Ohio. She can be reached at her office (for appointments etc.) via phone at (330) 368-2617.

NPI number for Shantell Jackson is 1992307870 and her current mailing address is 1834 Robindale St, Wickliffe, Ohio. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1992307870.

Contact Information

Shantell Jackson,
1834 Robindale St,
Wickliffe, OH 44092-1843
(330) 368-2617
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameShantell Jackson
GenderFemale
SpecialityPsychologist - Intellectual & Developmental Disabilities
Location1834 Robindale St, Wickliffe, Ohio
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1992307870
  • Provider Enumeration Date: 11/15/2020
  • Last Update Date: 11/15/2020

Medical Identifiers

Medical identifiers for Shantell Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1992307870NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TM1800XPsychologist - Intellectual & Developmental Disabilities 4303862 (Ohio)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shantell Jackson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Shantell Jackson,
1834 Robindale St,
Wickliffe, OH 44092-1843

Ph: (330) 368-2617
Shantell Jackson,
1834 Robindale St,
Wickliffe, OH 44092-1843

Ph: (330) 368-2617

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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