Gene M Jacobs, D.O.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

DO00480 Issued in RI

Practice address

1090 New London Ave
Cranston, RI 02920-3035

Phone

(401) 463-5778

Fax

(401) 463-3582

NPI assigned

Mar 9, 2006

Last updated

Dec 18, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in RI, MA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Psychiatry

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Quality Behavioral HealthGroup PAC ID 7113968694, 22 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Quality Behavioral Health

  • Counselor
  • Warwick, RI
  • NPI 1154485480
  Medicare reassignment Care Compare group NPD
• Haven Psych PLLC

  • Psychiatry Physician
  • North Easton, MA
  • NPI 1265136675
  Medicare reassignment NPD
• Thundermist Health Center

  • Federally Qualified Health Center (FQHC)
  • Woonsocket, RI
  • NPI 1588691620
  NPD (past)

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197936000000",
    "number": "1699743245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1090 NEW LONDON AVE",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029203035",
            "telephone_number": "401-463-5778",
            "fax_number": "401-463-3582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1090 NEW LONDON AVE",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029203035",
            "telephone_number": "401-463-5778",
            "fax_number": "401-463-3582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "GENE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2007-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "RI",
            "license": "DO00480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sofia Irons, LCSW
• Alexandra Maria Irving, LMFT
• Liza Marie Izzo
• Maria Jablonski, O.D.
• Jack P Mourad,MD,Inc
• Michael Lee Jacobs, PT, DPT
• Sarah C Jacobs, LCSW
• Jeffrey Lee Jacobson, OD
• James K. Cardi,M.D.,Inc
• James R. Bonner, MD, Inc (James R. Bonner, MD)

• Psychiatry Physician in Cranston, RI
• Providers in Cranston, RI by specialty
• Psychiatry Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.