Acuity Brain Health LLC

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

Legal business name

ACUITY BRAIN HEALTH LLC

Practice address

670 Cleveland Ave S
Saint Paul, MN 55116-1218

Phone

(404) 849-4855

Fax

(651) 858-5964

NPI assigned

Jun 12, 2026

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jackie L Micklewright, PHD, LP, ABPP-CNNPI 1669705638

Title

Board Certified Neuropsychologist

Phone

(404) 849-4855

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jackie Lyn Micklewright, PHD

  • Clinical Neuropsychologist
  • Saint Paul, MN
  • NPI 1669705638
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1781222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781222400000",
    "number": "1295669281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 CLEVELAND AVE S",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551161218",
            "telephone_number": "404-849-4855",
            "fax_number": "651-858-5964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 CLEVELAND AVE S",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551161218",
            "telephone_number": "404-849-4855",
            "fax_number": "651-858-5964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACUITY BRAIN HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-12",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "status": "A",
        "authorized_official_last_name": "MICKLEWRIGHT",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BOARD CERTIFIED NEUROPSYCHOLOGIST",
        "authorized_official_telephone_number": "404-849-4855",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LP, ABPP-CN"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Saint Paul, MN
• Clinical Neuropsychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.