Jackie Lyn Micklewright
PHD | Clinical Psychologist | 17+ years Exp
280 Smith Ave N Ste 220, Saint Paul
Minnesota, 55102-2459
651-241-8295 Maps & DirectionsJackie Lyn Micklewright is a Saint Paul, Minnesota based psychologist with 17 years of experience in Clinical Psychology. She completed her graduation in 2009. She is also affiliated with hospitals like She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Jackie Lyn Micklewright is LP5324 for Clinical Psychology in Minnesota. Her current practice location is 280 Smith Ave N Ste 220, Saint Paul. Patients can reach her at 651-241-8295. Jackie Lyn Micklewright is PHD in Clinical Psychology and her NPI number (Unique professional ID assigned by NPPES) is 1669705638.
Jackie Lyn Micklewright is a mental health professional with highly specialized training in the diagnosis and psychological treatment of mental, behavioral and emotional illnesses, including obsessive-compulsive disorder (OCD). Her main focus is on diagnosing and treating mental, emotional, and behavioral disorders. Some of the common disorders that she can treat are learning disabilities, substance abuse, depression, anxiety, and eating disorders.
Complete Profile:
Jackie Lyn Micklewright speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Jackie Lyn Micklewright |
| Specialization: | Clinical Psychology |
| Gender: | Female |
| Credentials: | PHD |
| Experience: | 17+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2009 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 280 Smith Ave N Ste 220, Saint Paul,
Minnesota, 55102-2459 |
| Phone: | 651-241-8295 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 0345411674 |
| Enrollment ID: | I20110919000350 |
| NPI Number: | 1669705638 |
| NPI Enumeration Date: | 09 Sep, 2009 |
| NPI Last Update On: | 15 Oct, 2019 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jackie Lyn Micklewright are as mentioned below.
| License Number | Specialization | State | Status | |
| LP5324 | Clinical Psychology | Minnesota | Primary | |
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
| Hospital Name (CCN) | State | Hospital Type |
| (240038) | Saint paul, MN | Acute Care Hospital |
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Jackie Lyn Micklewright is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Allina Health System (4587573613) | 2758 |
| Healthwise Psychology Pa (2567685647) | 17 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Jackie Lyn Micklewright such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 680003191 | Other | Minnesota | MEDICARE PTAN |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Jackie Lyn Micklewright
2925 Chicago Ave,
Minneapolis, Minnesota |
| Zip: | 55407-1321 |
| Phone Number: | 612-262-5000 |
Patients can reach Jackie Lyn Micklewright at
280 Smith Ave N Ste 220, Saint Paul, Minnesota or can
call to book an appointment on 651-241-8295.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.