Individual provider Active NPI

H. Neil Jacobson, M.D.

  • Psychiatry Physician
  • Dallas, TX
National Provider Identifier
1346263977
Registry record updated Nov 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
G7244 Issued in TX
Practice address
17440 Dallas Pkwy
Suite 208
Dallas, TX 75287-7336
Phone
(972) 248-1717
Fax
(972) 248-4599
NPI assigned
Jul 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X G7244 TX Primary

Addresses

Primary practice location

17440 Dallas Pkwy
Suite 208
Dallas, TX 75287-7336

Mailing address

17440 Dallas Pkwy
Suite 208
Dallas, TX 75287-7336
Phone (972) 248-1717

Other identifiers 3

IdentifierTypeStateIssuer
264088609OtherTAX ID
752303564OtherTAX ID
127960605MedicaidTX

Medicare participation

Medicare enrollment files
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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Dec 23, 2025 through Dec 23, 2027

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1976
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

17440 Dallas Pkwy
Suite 208
Dallas, TX 75287-7350

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
H. Neil Jacobson, MD PA Psychiatry Current Accepting new patients

Locations

17440 Dallas Pkwy
Ste 208
Dallas, TX 75287
Phone (214) 289-3164

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415923200000",
    "number": "1346263977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17440 DALLAS PKWY",
            "address_2": "SUITE 208",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752877336",
            "telephone_number": "972-248-1717",
            "fax_number": "972-248-4599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17440 DALLAS PKWY",
            "address_2": "SUITE 208",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752877336",
            "telephone_number": "972-248-1717",
            "fax_number": "972-248-4599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBSON",
        "first_name": "H. NEIL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2014-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "G7244",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "264088609",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "752303564",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127960605",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.