Organization Active NPI

Janice Jacobs, PH.D., LLC

  • Clinical Psychologist
  • Boca Raton, FL
National Provider Identifier
1710395165
Registry record updated Feb 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY6368 Issued in FL
Legal business name
JANICE JACOBS, PH.D., LLC
Practice address
7035 Beracasa Way Ste 201
Boca Raton, FL 33433-3408
Phone
(561) 302-0887
Fax
(561) 419-6586
NPI assigned
Jul 29, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2024

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

Authorized official

Name
Dr. Janice Jacobs, PHDNPI 1821162678
Title
Manager
Phone
(561) 302-0887

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PY6368 FL Primary

Addresses

Primary practice location

7035 Beracasa Way Ste 201
Boca Raton, FL 33433-3408

Mailing address

7234 Carmel CT
Boca Raton, FL 33433-5544
Phone (561) 302-0887

National Provider Directory

National Provider Directory

Locations

7301 W Palmetto Park Rd
Ste 104B
Boca Raton, FL 33433
Phone (561) 368-9940

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1406592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707955200000",
    "number": "1710395165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7234 CARMEL CT",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334335544",
            "telephone_number": "561-302-0887",
            "fax_number": "561-419-6586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7035 BERACASA WAY STE 201",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334333408",
            "telephone_number": "561-302-0887",
            "fax_number": "561-419-6586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANICE JACOBS, PH.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-29",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "JANICE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "561-302-0887",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY6368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; 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.