Pamala Wood Jacobel, PH.D., L.P.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

LP2861 Issued in MN

Practice address

402 Washington St
Suite a
Northfield, MN 55057-5190

Phone

(507) 645-4253

Fax

(507) 645-6658

NPI assigned

Jul 26, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329177600000",
    "number": "1598765265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 MANITOU ST",
            "address_2": "PO BOX 738",
            "city": "NORTHFIELD",
            "state": "MN",
            "postal_code": "550571514",
            "telephone_number": "507-645-4253",
            "fax_number": "507-645-6658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 WASHINGTON ST",
            "address_2": "SUITE A",
            "city": "NORTHFIELD",
            "state": "MN",
            "postal_code": "550575190",
            "telephone_number": "507-645-4253",
            "fax_number": "507-645-6658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBEL",
        "first_name": "PAMALA",
        "middle_name": "WOOD",
        "name_prefix": "Dr.",
        "credential": "PH.D., L.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-26",
        "last_updated": "2012-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP2861",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "574048700",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hughes Psychotherapy
• Kathleen Hughes, MSW
• Sara I Husby, COTA/L
• Eric Huska, PHARMD
• Denise Marie Intihar-Lum, F.N.P.
• Katie Jacobi
• Brandon Jentink, LAT, ATC
• Johnson Dental Arts P.a.
• Aaron Johnson, D.D.S.
• Amber Johnson, MA

• Psychologist in Northfield, MN
• Providers in Northfield, MN by specialty
• Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.