NPIMap

Organization Active NPI

Sheryl R. Jacobs, PH.D., P.C.

  • Psychologist
  • Baltimore, MD
National Provider Identifier
1265573729
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
2899 Issued in MD
Legal business name
SHERYL R. JACOBS, PH.D., P.C.
Practice address
6 Reservoir Cir Ste 201
Baltimore, MD 21208-7300
Phone
(410) 580-9045
Fax
(410) 580-9046
NPI assigned
Feb 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dr. Sheryl R Jacobs
Title
Director
Phone
(410) 580-9045

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X 2899 MD Primary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 2899 MD
Clinical Child & Adolescent PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC2200X 2899 MD

Addresses

Primary practice location

6 Reservoir Cir Ste 201
Baltimore, MD 21208-7300

Mailing address

6 Reservoir Cir Ste 201
Baltimore, MD 21208-7300
Phone (410) 580-9045

Other identifiers 6

IdentifierTypeStateIssuer
006499OtherMDVALUE OPTIONS
46365OtherMDCIGNA
373857OtherMDTRICARE
157959OtherMDMHN
218020OtherMDKAISER PERMANENTE
22877OtherMDJOHNS HOPKINS UNIVERSITY

National Provider Directory

National Provider Directory

Locations

8 Reservoir Cir
Ste 105
Pikesville, MD 21208
Phone (410) 580-9045

NPI Registry JSON

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1265573729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 RESERVOIR CIR STE 201",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212087300",
            "telephone_number": "410-580-9045",
            "fax_number": "410-580-9046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 RESERVOIR CIR STE 201",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212087300",
            "telephone_number": "410-580-9045",
            "fax_number": "410-580-9046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERYL R. JACOBS, PH.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "SHERYL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "410-580-9045",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "MD",
            "license": "2899",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "2899",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "MD",
            "license": "2899",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "006499",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "46365",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "373857",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN",
            "identifier": "157959",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER PERMANENTE",
            "identifier": "218020",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHNS HOPKINS UNIVERSITY",
            "identifier": "22877",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.