About
Jackie Lyn Micklewright is a Clinical Psychologist in Saint Paul, Minnesota. She graduated in 2009. She has over 14 years of experience. Jackie L. Micklewright is a group member of Healthwise Psychology Pa and Allina Health System. Contact Jackie Lyn Micklewright to request her Medicare information, payment methods she accepts, or to book an appointment.
Basic Data
PECOS ID: 0345411674
Entity Type: Individual; Not Sole Proprietor
Accepts Med Assignment: She does accept the payment amount Medicare approves and not to bill you for more than the Medicare deductible and coinsurance.
Gender
Female
Years in Practice
14 years
Healthcare Provider Taxonomy
- Code: 103TC0700X
- Grouping: Behavioral Health & Social Service Providers
- Classification: Psychologist
- Specialization: Clinical
Credentials
- Doctor of Philosophy (PHD)
Individual MIPS
Merit-Based Incentive Payment System (MIPS) final scores and performance category scores for therapists.
Quality Category Score
PI Category Score
IA Category Score
Final MIPS Score
HCPCS Codes
Healthcare Common Procedure Coding System (HCPCS) codes commonly used by this therapist.
| Code | Code Description | Service Count | Beneficiary Count |
|---|---|---|---|
| 96132 | Neuropsychological testing evaluation by qualified health care professional, first 60 minutes | 55 | 54 |
Group Practices
Group practices this therapist belongs to includes:
| Healthwise Psychology Pa | |
|---|---|
| Address | 11280 86th Ave N |
| Maple Grove, MN 55369-4510 | |
| Group PAC ID | 2567685647 |
| Group Members | 16 |
| Allina Health System | |
|---|---|
| Address | 280 Smith Ave N |
| Suite 220 | |
| St Paul, MN 55102-2459 | |
| Group PAC ID | 4587573613 |
| Group Members | 2995 |
Licenses
| Name | License Number | State |
|---|---|---|
| Psychologist | LP5324 Verify | MN |
Education
| Year Graduated |
|---|
| 2009 |
Practice Locations
280 Smith Ave N Ste 220
Saint Paul, MN 55102-2459
Phone Number: (651) 241-8295
11280 86th Ave N
Maple Grove, MN 55369-4510
Phone Number: (763) 400-7828
Therapists Near Saint Paul, MN
Master of Social Work (MSW)
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Master of Arts (MA)
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