Professional Psychiatric Associates & Consultants PC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

34367 Issued in MA

Legal business name

PROFESSIONAL PSYCHIATRIC ASSOCIATES & CONSULTANTS PC

Practice address

16 Mica LN Ste 101
Wellesley Hills, MA 02481-1721

Phone

(781) 591-5221

Fax

(781) 235-6390

NPI assigned

Feb 7, 2008

Last updated

Nov 16, 2023By 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. Douglas G Jacobs, M.D.NPI 1497799076

Title

President

Phone

(781) 591-5221

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.

• Douglas George Jacobs, M.D.

  • Psychiatry Physician
  • Wayland, MA
  • NPI 1497799076
  Authorized official Same address or phone

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

{
    "created_epoch": "1202342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700092800000",
    "number": "1295913747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 LILLIAN WAY",
            "city": "WAYLAND",
            "state": "MA",
            "postal_code": "017783030",
            "telephone_number": "781-591-5221",
            "fax_number": "781-235-6390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 MICA LN STE 101",
            "city": "WELLESLEY HILLS",
            "state": "MA",
            "postal_code": "024811721",
            "telephone_number": "781-591-5221",
            "fax_number": "781-235-6390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL PSYCHIATRIC ASSOCIATES & CONSULTANTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-07",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-591-5221",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "34367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Ploeger, BCBA, LABA
• Stanislava Portnoy, M.D.
• Mona Patel Potter, MD
• Daniela Poulat
• Presentation, LLC (Presentation Rehabilitation & Skilled Care Center)
• Psychotherapy & Wellness Center, LLC
• Brianna Quinn
• Colleen Quinn, OTR/L
• Talya Rabina, PSY.D.
• Raquel K. Perlis Physical Therapy, Inc.

• Psychiatry Physician in Wellesley Hills, MA
• Providers in Wellesley Hills, MA by specialty
• Psychiatry Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2023; 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.