JESSICA Z KIRKLAND CALDWELL (PH.D.) – Clinical Neuropsychologist, NPI 1336450857

JESSICA Z KIRKLAND CALDWELL (PH.D.) is a healthcare provider. based in Las vegas, Nevada. specializing in Clinical Neuropsychologist. They hold the professional credentials PH.D.. They hold a License No. 63010115638 (MI). The NPI Number for JESSICA Z KIRKLAND CALDWELL (PH.D.) is 1336450857

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
JESSICA Z KIRKLAND CALDWELL (PH.D.)
NPI
1336450857
Phone
Not provided
Address
888 W BONNEVILLE AVE
Enumeration Date
30 June 2010
Last Update Date
5 April 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7024836000
Graduation Year
2011 (15 years ago)
PAC ID
2062648645
Group Practice PAC ID
9537219431
Professional Enrollment ID
I20160315001587
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

Provider Addresses for JESSICA Z KIRKLAND CALDWELL (PH.D.)

  • 888 W BONNEVILLE AVE

    LAS VEGAS, NV 891060100

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-03-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160315001587IClinical PsychologistNVTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 89106)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9537219431View full group profile
NameSpecialtyState
P S Y C H I A T R YMS
Clinical Social WorkerNV
Neurology, PsychiatryWA
Occupational Therapist In Private PracticeCA
Nurse PractitionerNV
Nurse PractitionerNV
Physical Therapist In Private PracticeNV
Clinical PsychologistNV
-NV
N E U R O L O G YNV

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Frequently asked questions

How do I look up JESSICA Z KIRKLAND CALDWELL (PH.D.) by NPI?
Use NPI 1336450857 when you need to reference JESSICA Z KIRKLAND CALDWELL (PH.D.) in forms, claims, or directories.
Is JESSICA Z KIRKLAND CALDWELL (PH.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does JESSICA Z KIRKLAND CALDWELL (PH.D.) list a primary specialty?
If you are matching referrals, note Clinical Neuropsychologist for JESSICA Z KIRKLAND CALDWELL (PH.D.). Clinical services aligned with this taxonomy classification.
Does JESSICA Z KIRKLAND CALDWELL (PH.D.) practice in Nevada?
You will see Las Vegas, Nevada on file for JESSICA Z KIRKLAND CALDWELL (PH.D.) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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