Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Wallace J Jackmon, PHD

Clinical Psychologist in Sioux Falls, SD · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1427020957

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Registry record

Entity type Individual (Type 1)

Name Wallace J Jackmon

Credential PHD

Sex Male

Practice address 4400 W 69th St, Ste 1500, Sioux Falls, SD, 57108

Phone (605) 322-5700

Fax (605) 322-5704

Enumeration date Feb 7, 2006

Last updated in NPPES Oct 11, 2018

Taxonomy & licenses

103TC0700X Clinical Psychologist Behavioral Health & Social Service Providers · License 477 (SD) Primary

PHD — Doctor of Philosophy: A doctoral degree; in healthcare often held by clinical psychologists and researchers. About the PHD credential

Other identifiers

Identifier	Type	State	Issuer
12200	Medicaid	ND	—
46022474352	Medicaid	NE	—
854000	Other	SD	ARAZ/ AMERICA'S PPO
944611700	Medicaid	MN	—
0040537	Other	SD	BLUE CROSS
140M8JA	Other	MN	CC SYSTEMS/ BLUE PLUS
142415	Other	MN	UCARE
412991020844	Other	SD	PREFERRED ONE
6552790	Medicaid	SD	—
6570753	Medicaid	SD	—
800013808	Other	SD	RR MEDICARE
HP37115	Other	SD	HEALTHPARTNERS
15096	Other	SD	MIDLANDS CHOICE
20814	Other	SD	SANFORD HEALTH PLAN
3989442	Medicaid	IA	—
57108C003	Other	SD	WPS TRICARE
9205351	Other	SD	DAKOTACARE
040121002	Other	MN	PRIMEWEST

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty.

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Frequently asked questions

Where does Wallace Jackmon practice?

The practice location on file with NPPES is in Sioux Falls, SD. Providers can have multiple locations; NPPES lists the primary practice address.

What is the NPI number for Wallace Jackmon?

The National Provider Identifier (NPI) for Wallace Jackmon is 1427020957, a Type 1 (individual) record in the CMS NPPES registry.

Other providers at this practice address

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Nancy Wilson Psychiatry Physician · Sioux Falls, SD NPI 1639142185 Tamara Vik Child & Adolescent Psychiatry Physician · Sioux Falls, SD NPI 1548233091 Clifford Mcnaughton Psychiatry Physician · Sioux Falls, SD NPI 1184697633 Scott Schneider Child & Adolescent Psychiatry Physician · Sioux Falls, SD NPI 1639141179 Anthony Vaca Psychiatry Physician · Sioux Falls, SD NPI 1700858248 Laura Withorne-Maloney Family Nurse Practitioner · Sioux Falls, SD NPI 1255303707 Lisa Amiotte Psychiatry Physician · Sioux Falls, SD NPI 1871565333 Timothy Soundy Child & Adolescent Psychiatry Physician · Sioux Falls, SD NPI 1053383539

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-10-11.