Paul G. Jacoby LCSW, P.L.L.C.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

PAUL G. JACOBY LCSW, P.L.L.C.

Practice address

36 Winthrop St
Rochester, NY 14607-1326

Phone

(585) 460-0066

Fax

(585) 460-0038

NPI assigned

Jul 14, 2022

Last updated

Jul 14, 2022By 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

Paul G Jacoby, LCSWNPI 1063708360

Title

Owner

Phone

(585) 460-0066

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

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.

• Paul G Jacoby, LCSW

  • Mental Health Counselor
  • Rochester, NY
  • NPI 1063708360
  Medicare reassignment NPD Authorized official
• Benjamin Currie

  • Addiction (Substance Use Disorder) Counselor
  • Rochester, NY
  • NPI 1912868076
  Medicare reassignment

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

{
    "created_epoch": "1657756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657756800000",
    "number": "1316671456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 WINTHROP ST",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146071326",
            "telephone_number": "585-460-0066",
            "fax_number": "585-460-0038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 WINTHROP ST",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146071326",
            "telephone_number": "585-460-0066",
            "fax_number": "585-460-0038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL G. JACOBY LCSW, P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-14",
        "last_updated": "2022-07-14",
        "certification_date": "2022-06-16",
        "status": "A",
        "authorized_official_last_name": "JACOBY",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "585-460-0066",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shayna Patterson
• Tamara Monique Patterson, LPN
• Tracy Lee Pattison, LPN
• Lindsay Patton, PT, DPT
• Alyssa Rose Pattridge
• Allsion Paul, LCSW
• Christina Paul, RN
• David A Paul, MD
• Debra Sue Paul, ANP - BC, GNP
• Jennifer H Paul, MD

• Community/Behavioral Health Agency in Rochester, NY
• Providers in Rochester, NY by specialty
• Community/Behavioral Health Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.