Donald Richard Jacobs, MD

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

CO21736 Issued in CO

Practice address

6075 So Quebec
Ste 203
Centennial, CO 80111

Phone

(303) 796-9232

Fax

(303) 796-0324

NPI assigned

Nov 29, 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

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cynthia Daugherty PSYD PC

  • Clinical Psychologist
  • Centennial, CO
  • NPI 1568602381
  NPD (past)
• Nancy J Cole Psy D P C

  • Group Psychotherapy Psychologist
  • Greenwood Village, CO
  • NPI 1457502890
  NPD (past)

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461542400000",
    "number": "1205903283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6087 S QUEBEC ST",
            "address_2": "STE 103",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801114540",
            "telephone_number": "303-796-9232",
            "fax_number": "303-796-0324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6075 SO QUEBEC",
            "address_2": "STE 203",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "80111",
            "telephone_number": "303-796-9232",
            "fax_number": "303-796-0324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "DONALD",
        "middle_name": "RICHARD",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2016-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CO",
            "license": "CO21736",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01217363",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dominique Jackson-Coy, LSW
• Cynthia Jackson, PSYCH NP
• Keli Nalu Patricia Jackson, PA-C
• Erin Colleen Jacob, PA-C
• Laura L Jacob, RDH
• Murray Jacobs, D.D.S.
• Olivia Jaconette, DDS
• Jae Yong Lee DO LLC
• James .T.M. Anderson, DC, PC
• James Bieneman DDS PC

• Child & Adolescent Psychiatry Physician in Centennial, CO
• Providers in Centennial, CO by specialty
• Child & Adolescent Psychiatry Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.