Noel Jameson Jacobs, PH.D.

Primary specialty

Health Service PsychologistTaxonomy code 103TH0100X

License

980 Issued in OK

Practice address

1200 N Phillips Ave
Suite 12400
Oklahoma City, OK 73104-4600

Phone

(405) 285-4440

Fax

(405) 271-8709

NPI assigned

Dec 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309824000000",
    "number": "1184782765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4621 NW 157TH TER",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730138954",
            "telephone_number": "405-285-4440",
            "fax_number": "405-271-8709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N PHILLIPS AVE",
            "address_2": "SUITE 12400",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731044600",
            "telephone_number": "405-285-4440",
            "fax_number": "405-271-8709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "NOEL",
        "middle_name": "JAMESON",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2011-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "OK",
            "license": "980",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200099360A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Keith Eric Jacobs, BA, CMII
• Lacey Kristine Jacobs, PA-C
• Laura Jacobs
• Macara K Jacobs, PA-C
• Matthew Jacobs, R.D.
• Terri Jacobs
• Trelisa Jacobs, LCSW
• Trudy Jacobs
• Brianna Jacobsen, COTA/L
• John Nathan Jacobsen, D.D.S.

• Health Service Psychologist in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Health Service Psychologist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 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.