Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jackie Lyn Micklewright, PHD

Individual provider Clinical Psychologist · NPI 1669705638

Jackie Lyn Micklewright, PHD is a Clinical Psychologist in Saint Paul, Minnesota. Qualified in 2009, 17 years ago. Practices with Healthwise Psychology PA, a 33-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
17
Licensed in
MN
In the registry since
2009
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

280 Smith Ave N Ste 220
Saint Paul, MN 55102-2459
Phone: (651) 241-8295
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 11280 86th Ave N, Maple Grove, MN 55369-4510 — (763) 400-7828

Specialties & licences

Clinical Neuropsychologist (primary) Taxonomy 103G00000X
Clinical Psychologist Taxonomy 103TC0700X · Licence LP5324 (MN)

Record details

NPI number1669705638
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedSeptember 9, 2009
Last updated in NPPESApril 28, 2026
Certification dateApril 28, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Healthwise Psychology Pa — 33 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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