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

MS. Jessie Shacklette, EDS

Individual provider School Psychologist · NPI 1609693175

MS. Jessie Shacklette, EDS is a School Psychologist in Indianapolis, Indiana. Licensed in Indiana. Registered with an NPI since 2024.

Licensed in
IN
In the registry since
2024

Practice location Address checks out

6548 Orinoco Ave
Indianapolis, IN 46227-4820
Phone: (317) 789-3728
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

School Psychologist (primary) Taxonomy 103TS0200X · Licence 10346260 (IN)

Record details

NPI number1609693175
Entity typeIndividual (Type 1)
GenderFemale
Credentials EDS
Sole proprietorNo
NPI enumeratedSeptember 25, 2024
Last updated in NPPESSeptember 25, 2024
Certification dateSeptember 25, 2024

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