Organization Active NPI

Rachel H Jacobs PHD PC

Doing business as Well Brain

  • Cognitive & Behavioral Psychologist
  • Chicago, IL
National Provider Identifier
1275203242
Registry record updated Dec 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X
Legal business name
RACHEL H JACOBS PHD PC
Doing business as
Well Brain
Well Brain Therapy
Practice address
561 W Diversey Pkwy Ste 209
Chicago, IL 60614-1682
Phone
(773) 830-4725
NPI assigned
Sep 20, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2025

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

Authorized official

Name
Rachel H Jacobs, PHDNPI 1801124045
Title
Clinical Psychologist
Phone
(773) 830-4725

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cognitive & Behavioral PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TB0200X Primary

Addresses

Primary practice location

561 W Diversey Pkwy Ste 209
Chicago, IL 60614-1682

Mailing address

561 W Diversey Pkwy Ste 209
Chicago, IL 60614-1682
Phone (773) 830-4725

Other practice location 1

45 N Whittaker St Ste 204
New Buffalo, MI 49117-1173
Phone (773) 830-4725

Other names 2

  • Well Brain Doing business as
  • Well Brain Therapy Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1632096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765324800000",
    "number": "1275203242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "561 W DIVERSEY PKWY STE 209",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606141682",
            "telephone_number": "773-830-4725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "561 W DIVERSEY PKWY STE 209",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606141682",
            "telephone_number": "773-830-4725"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "45 N Whittaker St Ste 204",
            "address_purpose": "LOCATION",
            "city": "New Buffalo",
            "state": "MI",
            "postal_code": "491171173",
            "country_code": "US",
            "telephone_number": "773-830-4725",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RACHEL H JACOBS PHD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-20",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "773-830-4725",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Well Brain",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Well Brain Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.