Jacobson Psychological Services P.C.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

016535 Issued in NY

Legal business name

JACOBSON PSYCHOLOGICAL SERVICES P.C.

Practice address

26 W 9TH St
Suite 5C
New York, NY 10011-8971

Phone

(212) 254-1618

Fax

(212) 254-2427

NPI assigned

Apr 30, 2014

Last updated

Apr 30, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Brian Steven Jacobson, PSY.D.NPI 1730305202

Title

Clinical Psychologist

Phone

(212) 254-1618

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brian Jacobson, PSY.D.

  • Clinical Psychologist
  • New York, NY
  • NPI 1730305202
  NPD (past) Authorized official

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

{
    "created_epoch": "1398816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398816000000",
    "number": "1194135194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 W 9TH ST",
            "address_2": "SUITE 5C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100118971",
            "telephone_number": "212-254-1618",
            "fax_number": "212-254-2427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 W 9TH ST",
            "address_2": "SUITE 5C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100118971",
            "telephone_number": "212-254-1618",
            "fax_number": "212-254-2427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACOBSON PSYCHOLOGICAL SERVICES P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-30",
        "last_updated": "2014-04-30",
        "status": "A",
        "authorized_official_last_name": "JACOBSON",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "212-254-1618",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "016535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aidan Jacobsen, MD
• Emily Jacobsen
• Samantha Mary Jacobsen, PT, DPT
• Tamar Leora Jacobsohn, MD
• Jacobson and Chubak Endodontics PLLC
• Adam Jacobson, LCSW, MSOD
• Adam Saul Jacobson, M.D.
• Blaise Yael Jacobson, LMSW
• Brian Jacobson, PSY.D.
• Carly Morgan Jacobson, OTR/L

• Clinical Psychologist in New York, NY
• Providers in New York, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2014; 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.