Jackie Dean, PSYD, LP
NPI 1174728109 · Clinical Psychologist · Springfield, MO
Enrolled with Medicare as Practitioner - Clinical Psychologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jackie Dean, PSYD, LP is a Clinical Psychologist provider in Springfield, MO (NPI 1174728109).
Provider details
- NPI number
- 1174728109
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PSYD, LP
- Sex
- Male
- Sole proprietor
- No
- License
- 2007015262 (MO)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-06-19
- Last updated
- 2025-05-14
- Certified
- 2025-05-14
Frequently asked questions
- What is Jackie Dean's NPI number?
- Jackie Dean's National Provider Identifier (NPI) is 1174728109, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jackie Dean's specialty?
- Jackie Dean is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Jackie Dean located?
- Jackie Dean's practice location on file with NPPES is 2885 W Battlefield St, Springfield, MO 65807-3952.
- What is Jackie Dean's phone number?
- The practice phone number listed in the NPPES registry for Jackie Dean is (417) 761-5000.
- Does Jackie Dean accept Medicare?
- Jackie Dean is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jackie Dean's NPI active?
- Yes — Jackie Dean's NPI (1174728109) is active in the NPPES registry as of the last update on 2025-05-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.