Jacobsons Ladder, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810000305 Issued in VA

Legal business name

JACOBSONS LADDER, LLC

Practice address

4445 Corporation LN
Ste 153
Virginia Beach, VA 23462-3262

Phone

(757) 213-6995

NPI assigned

Aug 19, 2011

Organization subpart

No

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

Authorized official

Name

Ronald S Jacobson

Title

Owner

Phone

(757) 213-6995

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1313712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313712000000",
    "number": "1730469925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4445 CORPORATION LN",
            "address_2": "STE 153",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234623262",
            "telephone_number": "757-213-6995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4445 CORPORATION LN",
            "address_2": "STE 153",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234623262",
            "telephone_number": "757-213-6995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACOBSONS LADDER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-19",
        "last_updated": "2011-08-19",
        "status": "A",
        "authorized_official_last_name": "JACOBSON",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-213-6995"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810000305",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7704143",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jonathan S Jacobs, D.M.D.,M.D.,F.A.C.S.
• Megan Jacobs, BCBA
• Caitlin A Jacobson, PA
• Peter C Jacobson, MD
• Ronald Stewart Jacobson, PHD
• Jacqueline B Smith DDS PLLC
• Kayde Jane Jacques
• Robert Jadgchew
• Savannah Lane Jaecks
• Serena Jaecques, OTR/L

• Clinical Psychologist in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Clinical Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2011; 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.