Individual provider Active NPI

Rachel Dresner Jacobs, PH.D.

  • Psychologist
  • Newton, MA
National Provider Identifier
1346307808
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
8180 Issued in MA
Practice address
30 Lincoln St
Newton, MA 02461-1527
Phone
(617) 447-5353
NPI assigned
Jan 3, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 8180 MA Primary

Addresses

Primary practice location

30 Lincoln St
Newton, MA 02461-1527

Mailing address

30 Lincoln St
Newton, MA 02461-1527
Phone (617) 447-5353

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective May 19, 2026 through May 19, 2028

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346307808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 LINCOLN ST",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024611527",
            "telephone_number": "617-447-5353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 LINCOLN ST",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024611527",
            "telephone_number": "617-447-5353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRESNER JACOBS",
        "first_name": "RACHEL",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MA",
            "license": "8180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, MA

Sources for this page

Verify at the official NPI Registry.