Jaclyn Reckow, PHD
Clinical Neuropsychologist · Grand Rapids, MI
Jaclyn Reckow, PHD is a clinical neuropsychologist with a practice address in Grand Rapids, Michigan, and NPI 1144717604, issued on Apr 19, 2018. Check the license (Michigan 6301016942, as entered in NPPES) with the Michigan board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Jaclyn Reckow
- Credential
- PHD
- Primary taxonomy
- Clinical Neuropsychologist 103G00000X
- License number
- 6301016942 MI
Self-reported in NPPES; status is on the state search - Practice location
- 245 Cherry St SE Ste 104, Grand Rapids, MI 49503
- Phone
- (616) 685-5050
- Enumerated
- Apr 19, 2018
- Record last updated
- Apr 19, 2018 (not updated in 8 years: call before relying on the address or phone)
- Fax
- (616) 685-8962
- Medicare enrollment
- Enrolled (PECOS I20180625000182); accepts Medicare assignment
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest clinical neuropsychologist records → All 133 in Michigan → Look up another NPI →
Also registered at 245 Cherry St SE Ste 104
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Hisham Elkhider, MDNeurology Physician1831610815
- Desiree Markantone, M.D.Epilepsy Physician1700378239
- Hussam ShakerNeurology Physician1861807315
Verify Jaclyn Reckow in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Michigan board licenses this profession
Search for license 6301016942Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Advantage Health/saint Mary's Medical GroupCaledonia, MI
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Jaclyn Reckow among 133 clinical neuropsychologist records in Michigan
Jaclyn Reckow, PHD is one of 133 clinical neuropsychologist records with a practice address in Michigan. 35% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2018, is newer than 79% of them.
- NPI issued2018 · 79% of these records are older, 18% newer
- In a Medicare fileYes · 35% of these records are
- In the CMS Doctors and Clinicians fileYes · 44% of these records are
- Graduated2016 · median 2007 among the 57 with a school on file
- Record last updated2018 · 50% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 103G00000X and a Michigan practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Clinical Neuropsychologist providers in Michigan
There are 133 clinical neuropsychologist records in Michigan.
All 133 in Michigan → Every provider in Grand Rapids → Clinical Neuropsychologist nationwide →
The 8 clinical neuropsychologist records with the nearest ZIP codes
- Luke AndersonGrand Rapids, MI 495031023326857
- Brianne Brooker, PHDGrand Rapids, MI 495031619346285
- Thomas Duda, PH.D., ABPP-CNGrand Rapids, MI 495031043612286
- Maegan Hatfield-Eldred, PHDGrand Rapids, MI 495031710264379
- Michael Lawrence, PHDGrand Rapids, MI 495031326130857
- John Linck, PH.D.Grand Rapids, MI 495031083878748
- Hien Luu, PSYDGrand Rapids, MI 495031053849810
- Joseph McLaughlan, PHDGrand Rapids, MI 495031376923979
Common questions
What is Jaclyn Reckow, PHD's NPI number?
Jaclyn Reckow, PHD's National Provider Identifier (NPI) is 1144717604, issued on Apr 19, 2018. An NPI identifies a provider in billing; it is not a license.
Where is Jaclyn Reckow, PHD located?
The NPPES record lists a practice address at 245 Cherry St SE Ste 104, Grand Rapids, MI, 49503. Phone: (616) 685-5050. Providers update this record themselves, so call before visiting.
How can I verify Jaclyn Reckow, PHD's license?
NPPES lists Michigan license number 6301016942, as entered by the provider. Search the Michigan board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.