Jeanette S. Jacobs, Psy.D.

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

JEANETTE S. JACOBS, PSY.D.

Practice address

1109 W Euclid Ave
Deland, FL 32720-6553

Phone

(386) 943-9040

NPI assigned

Nov 1, 2018

Last updated

Nov 1, 2018By 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. Jeanette S Jacobs, PSY.D.

Title

Licensed Clinical Psychologist

Phone

(386) 943-9040

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1541030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541030400000",
    "number": "1215404801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 W EUCLID AVE",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327206553",
            "telephone_number": "386-943-9040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 W EUCLID AVE",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327206553",
            "telephone_number": "386-943-9040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEANETTE S. JACOBS, PSY.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-01",
        "last_updated": "2018-11-01",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "JEANETTE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "LICENSED CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "386-943-9040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Holly June Jeffrey, L.P.N.
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• Jesnasublett, PLLC (Florida Spine Surgery)

• Mental Health Clinic/Center (Including Community Mental Health Center) in Deland, FL
• Providers in Deland, FL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2018; 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.