Active NPI
Cortexon Inc
- Psychiatry Physician
- Palo Alto, CA
National Provider Identifier
1154169241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- CORTEXON INC
- Practice address
- 228 Hamilton Ave Ste 329
Palo Alto, CA 94301-2583 - Phone
- (631) 896-1276
- Fax
- (833) 975-2039
- NPI assigned
- Jul 15, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Matthew Jacobs, DO
- Title
- President
- Phone
- (631) 896-1287
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | Primary |
Addresses
Primary practice location
228 Hamilton Ave Ste 329
Palo Alto, CA 94301-2583
Mailing address
3790 El Camino Real # 1225
Palo Alto, CA 94306-3314
National Provider Directory
National Provider DirectoryLocations
228 Hamilton Ave
Ste 329
Palo Alto, CA 94301
Phone (631) 896-1276
Practitioners & affiliated clinicians
Practitioners 1
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": "1721001600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1721001600000",
"number": "1154169241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3790 EL CAMINO REAL # 1225",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943063314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "228 HAMILTON AVE STE 329",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943012583",
"telephone_number": "631-896-1276",
"fax_number": "833-975-2039"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CORTEXON INC",
"organizational_subpart": "NO",
"enumeration_date": "2024-07-15",
"last_updated": "2024-07-15",
"certification_date": "2024-07-15",
"status": "A",
"authorized_official_last_name": "JACOBS",
"authorized_official_first_name": "MATTHEW",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "631-896-1287",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palo Alto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.