Susan J Jakubowicz, PH.D.

Primary specialty

PsychoanalystTaxonomy code 102L00000X

License

000381-1 Issued in NY

Practice address

301 E 21St St
1-K
New York, NY 10010-6543

Phone

(212) 473-1400

Fax

(212) 260-7564

NPI assigned

Apr 16, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Sep 1, 2017 through Sep 1, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1295950178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 E 21ST ST",
            "address_2": "1-K",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100106543",
            "telephone_number": "212-473-1400",
            "fax_number": "212-260-7564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E 21ST ST",
            "address_2": "1-K",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100106543",
            "telephone_number": "212-473-1400",
            "fax_number": "212-260-7564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAKUBOWICZ",
        "first_name": "SUSAN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-16",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "PR30155-2",
            "primary": false
        },
        {
            "code": "102L00000X",
            "taxonomy_group": "",
            "desc": "Psychoanalyst",
            "state": "NY",
            "license": "000381-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Jakobson, PSY.D.
• Tamara Jakos
• Mirit Jakov
• Samantha Jakuboski
• Nicole Jakubow
• Jolanta Katherine Jakubowska, APN
• Ann A Jakubowski, MD
• Rita Mary Jakubowski, C-ANP
• Paul G. Jakuc, RPH.
• Samantha Jakucionis, PT

• Psychoanalyst in New York, NY
• Providers in New York, NY by specialty
• Psychoanalyst in New York

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.