Mikael Jacobson, M.D., P.a.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

L5386 Issued in TX

Legal business name

MIKAEL JACOBSON, M.D., P.A.

Practice address

4242 Medical Dr
Ste 1150
San Antonio, TX 78229-5640

Phone

(210) 593-1530

NPI assigned

Jul 26, 2007

Organization subpart

No

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

Authorized official

Name

Mikael Jacobson, M.D.NPI 1356364384

Title

President

Phone

(210) 593-1530

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Mikael James Jacobson, M.D.

  • Psychiatry Physician
  • San Antonio, TX
  • NPI 1356364384
  NPD (past) Authorized official

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

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185408000000",
    "number": "1457541377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2827 BRIARFIELD DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782304411",
            "telephone_number": "210-593-1530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4242 MEDICAL DR",
            "address_2": "STE 1150",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782295640",
            "telephone_number": "210-593-1530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIKAEL JACOBSON, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-26",
        "last_updated": "2007-07-26",
        "status": "A",
        "authorized_official_last_name": "JACOBSON",
        "authorized_official_first_name": "MIKAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-593-1530",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "L5386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luis Hector Miguel
• Adrian George Mihalcea, DO
• Nawfal A. Mihyawi, MD
• Joshua Mijares, DDS
• Mika K. Cole, MD, PA
• Elena Mikalsen, PH.D.
• Mike Majors D.D.S., P.C.
• Brenda Monique Mike, REGISTERED NURSE
• Chasity Mike
• Natalie Kay Miketinac

• Psychiatry Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.