Active NPI
Kristi Mira Jacobson, PPSC
- School Psychologist
- San Francisco, CA
National Provider Identifier
1114858057
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 220015989
- Practice address
- 3045 Santiago St
San Francisco, CA 94116-1526 - Phone
- (415) 849-8448
- NPI assigned
- May 28, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 220015989 | CA | Primary |
Addresses
Primary practice location
3045 Santiago St
San Francisco, CA 94116-1526
Mailing address
142 Rivoli St
San Francisco, CA 94117-4341
Phone (415) 847-8448
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 220015989 | CA | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1779926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779926400000",
"number": "1114858057",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "142 RIVOLI ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941174341",
"telephone_number": "415-847-8448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3045 SANTIAGO ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941161526",
"telephone_number": "415-849-8448"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACOBSON",
"first_name": "KRISTI",
"middle_name": "MIRA",
"name_prefix": "Ms.",
"credential": "PPSC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-05-28",
"last_updated": "2026-05-28",
"certification_date": "2026-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "CA",
"license": "220015989",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.