Harvey Earl Jacobs, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810-002607 Issued in VA

Practice address

7400 Beaufont Springs Dr
Suite 401
North Chesterfield, VA 23225-5556

Phone

(804) 323-5560

Fax

(804) 323-5562

NPI assigned

Mar 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1141516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354060800000",
    "number": "1497722789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3990 REEDS LANDING CIR",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231131385",
            "telephone_number": "804-814-0609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 BEAUFONT SPRINGS DR",
            "address_2": "SUITE 401",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232255556",
            "telephone_number": "804-323-5560",
            "fax_number": "804-323-5562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "HARVEY",
        "middle_name": "EARL",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-05",
        "last_updated": "2012-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "3198",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810-002607",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010116261",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010139759",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Jackson
• Hannah Kioko Jackson
• John Martin Jackson
• Naomi Martina Jackson, LCSW
• Quatysha N Jackson, LCSW
• Rebecca Jacobson-Fowler, LMT
• Joseph Jadallah, PHARMD
• Jade ABA Therapy LLC
• Ehsan Jafree
• Leah Taryn Jamerson, D.P.T.

• Clinical Psychologist in North Chesterfield, VA
• Providers in North Chesterfield, VA by specialty
• Clinical Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2012; 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.