Active NPI
Thomas N Jacob MD PC
- Psychiatry Physician
- Arlington, VA
National Provider Identifier
1689127797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 101029299
- Legal business name
- THOMAS N JACOB MD PC
- Practice address
- 1635 N George Mason Dr
Ste 240
Arlington, VA 22205-3601 - Phone
- (703) 522-8294
- Fax
- (703) 522-4915
- NPI assigned
- Jul 26, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Thomas Jacob, MD
- Title
- Owner
- Phone
- (703) 522-8294
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 101029299 | VA | Primary |
Addresses
Primary practice location
1635 N George Mason Dr
Ste 240
Arlington, VA 22205-3601
Mailing address
1635 N George Mason Dr
Ste 240
Arlington, VA 22205-3601
Phone (703) 522-8294
National Provider Directory
National Provider DirectoryLocations
1635 N George Mason Dr
Ste 240
Arlington, VA 22205
Phone (703) 522-8294
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Allergy Physician
- Arlington, VA
- NPI 1386668903
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469491200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1469491200000",
"number": "1689127797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1635 N GEORGE MASON DR",
"address_2": "STE 240",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "222053601",
"telephone_number": "703-522-8294",
"fax_number": "703-522-4915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1635 N GEORGE MASON DR",
"address_2": "STE 240",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "222053601",
"telephone_number": "703-522-8294",
"fax_number": "703-522-4915"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THOMAS N JACOB MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2016-07-26",
"last_updated": "2016-07-26",
"status": "A",
"authorized_official_last_name": "JACOB",
"authorized_official_first_name": "THOMAS",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "703-522-8294",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "VA",
"license": "101029299",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arlington, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.