Individual provider Active NPI

Meghan Kelly Jacobs, PSY.D.

  • Clinical Neuropsychologist
  • Boca Raton, FL
National Provider Identifier
1457650673
Registry record updated Sep 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
PY8252 Issued in FL
Practice address
9970 Central Park Blvd N
Suite 207
Boca Raton, FL 33428-2231
Phone
(561) 245-4622
Fax
(561) 613-6476
NPI assigned
Mar 28, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X PY8252 FL Primary
Clinical Psychologist 103TC0700X PY8252 FL

Addresses

Primary practice location

9970 Central Park Blvd N
Suite 207
Boca Raton, FL 33428-2231

Mailing address

6941 Bruce CT
Lake Worth, FL 33463-7469
Phone (954) 895-1812

Other names 1

  • Meghan Kelly Durkin Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111026000957 FL Practitioner - Clinical Psychologist 6103099726 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ezr ResearchGroup PAC ID 0547787434, 10 clinicians
Palm Beach Psychology Group, LLCGroup PAC ID 6709009756, 2 clinicians
Neuroscience Consultants LLPGroup PAC ID 8729040670, 109 clinicians

Practice addresses (Care Compare)

2900 N Military TRL
Suite 110
Boca Raton, FL 33431-6347
Phone (561) 788-7545

9970 Central Park Blvd N
Suite 207
Boca Raton, FL 33428-2236
Phone (561) 245-4622

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PY8252FLMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mtca Psychological Services P.a. Clinical CurrentSince May 12, 2014 Accepting new patients
Palm Beach Psychology Group, LLC Clinical CurrentSince Feb 15, 2014 Accepting new patients
Neuroscience Consultants LLP CurrentSince Jun 16, 2017 Accepting new patients
Ezr Research CurrentSince Aug 1, 2025 Accepting new patients
Meghan Jacobs, Psy.D., PA Clinical Neuropsychologist Past Accepting new patients
Steven M Essig PSYD PA Clinical Neuropsychologist Past Accepting new patients
Different Like Me Inc PastSince Nov 12, 2023 Accepting new patients

Locations

2900 N Military Trl
Ste 110
Boca Raton, FL 33431
Phone (561) 362-0510

875 Meadows Rd
Ste 323
Boca Raton, FL 33486
Phone (561) 395-2003

9970 Central Park Blvd N
Ste 207
Boca Raton, FL 33428
Phone (561) 482-1027

2605 W Atlantic Ave
Ste C102
Delray Beach, FL 33445
Phone (561) 482-1027

7091 Atlantic Ave
Delray Beach, FL 33446
Phone (561) 558-2149

9960 NW 116th Way
Ste 13
Medley, FL 33178

8940 SW 88th St
Ste 802E
Miami, FL 33176
Phone (305) 595-4041

16853 NE 2nd Ave
Ste S304
North Miami Beach, FL 33162

3501 Johnson St
Pembroke Park, FL 33021
Phone (954) 265-2000

1450 Venice East Blvd
Venice, FL 34292
Phone (941) 234-4577

111 Executive Center Dr
West Palm Beach, FL 33401
Phone (561) 300-4052

Organizations & group practices 7

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": "1301270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410134400000",
    "number": "1457650673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6941 BRUCE CT",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334637469",
            "telephone_number": "954-895-1812",
            "fax_number": "954-315-7939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9970 CENTRAL PARK BLVD N",
            "address_2": "SUITE 207",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334282231",
            "telephone_number": "561-245-4622",
            "fax_number": "561-613-6476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "MEGHAN",
        "middle_name": "KELLY",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-28",
        "last_updated": "2014-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "FL",
            "license": "PY8252",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY8252",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGHAN",
            "last_name": "DURKIN",
            "middle_name": "KELLY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.