Organization Active NPI

H. Neil Jacobson, MD PA

  • Psychiatry Physician
  • Dallas, TX
National Provider Identifier
1114208733
Registry record updated Sep 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
G7244 Issued in TX
Legal business name
H. NEIL JACOBSON, MD PA
Practice address
17440 Dallas Pkwy
Suite 208
Dallas, TX 75287-7336
Phone
(972) 248-1717
Fax
(972) 248-4599
NPI assigned
Sep 9, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2011

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

Authorized official

Name
H. Neil Jacobson, MD
Title
Owner
Phone
(972) 248-1717

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X G7244 TX Primary

Addresses

Primary practice location

17440 Dallas Pkwy
Suite 208
Dallas, TX 75287-7336

Mailing address

17440 Dallas Pkwy
Suite 208
Dallas, TX 75287-7336
Phone (972) 248-1717

National Provider Directory

National Provider Directory

Locations

17440 Dallas Pkwy
Ste 208
Dallas, TX 75287
Phone (214) 289-3164

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1315526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315526400000",
    "number": "1114208733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17440 DALLAS PKWY",
            "address_2": "SUITE 208",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752877336",
            "telephone_number": "972-248-1717",
            "fax_number": "972-248-4599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17440 DALLAS PKWY",
            "address_2": "SUITE 208",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752877336",
            "telephone_number": "972-248-1717",
            "fax_number": "972-248-4599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "H. NEIL JACOBSON, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-09",
        "last_updated": "2011-09-09",
        "status": "A",
        "authorized_official_last_name": "JACOBSON",
        "authorized_official_first_name": "H.",
        "authorized_official_middle_name": "NEIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-248-1717",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "G7244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2011; 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.