Wendy Jacobs, JD, PHD, PA

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY6367 Issued in FL

Legal business name

WENDY JACOBS, JD, PHD, PA

Practice address

2650 Bahia Vista St Ste 201
Sarasota, FL 34239-2625

Phone

(941) 402-7520

NPI assigned

Jan 12, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Wendy L Jacobs, PH.D.NPI 1174633242

Title

Owner

Phone

(941) 402-7520

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Wendy Lynn Jacobs, PHD

  • Psychologist
  • Sarasota, FL
  • NPI 1174633242
  Medicare reassignment NPD Authorized official
• Dori Goldfarb, PH.D.

  • Clinical Psychologist
  • Sarasota, FL
  • NPI 1346263803
  NPD (past)
• Eddy Regnier, PH.D.

  • Family Psychologist
  • Sarasota, FL
  • NPI 1083625263

  Clinical

  NPD (past)
• Samuel Sanabria, PH.D., LMHC, NCC

  • Mental Health Counselor
  • Sarasota, FL
  • NPI 1104979814
  NPD (past)
• Tia Westheimer, PSY.D.

  • Psychologist
  • Sarasota, FL
  • NPI 1417383357

  Clinical

  NPD (past)

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

{
    "created_epoch": "1326326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604966400000",
    "number": "1447520010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17263",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342760263",
            "telephone_number": "941-402-7520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 BAHIA VISTA ST STE 201",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342392625",
            "telephone_number": "941-402-7520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WENDY JACOBS, JD, PHD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-12",
        "last_updated": "2020-11-10",
        "certification_date": "2020-11-10",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-402-7520",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY6367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wellvia Home Care, L.L.C
• Lindsey Amy Welner, D.O.
• Holleigh Wen
• Linda Wenck, HIS
• Katy Darlene Wendel, RN
• Sarah Bense Wengert, DPT
• Scott A Wenk, DDS. MD
• Stacie Wenk, DO
• Stephen R Wentland, PA
• Audrey Elaine Wentworth, LCSW

• Clinical Psychologist in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2020; 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.