Individual provider Active NPI

Joanna Jakubowska, M.D.

  • Psychiatry Physician
  • Meriden, CT
National Provider Identifier
1760587463
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
037118 Issued in CT
Practice address
271 Finch Ave
Meriden, CT 06451-2715
Phone
(203) 237-8084
Fax
(203) 639-1333
NPI assigned
Sep 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 037118 CT Primary

Addresses

Primary practice location

271 Finch Ave
Meriden, CT 06451-2715

Mailing address

271 Finch Ave
Meriden, CT 06451-2715
Phone (203) 237-8084

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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 1

Enrollment IDStateProvider typePAC IDDetails
I20150305002108 CT Practitioner - Psychiatry 1456570993 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Franciscan Life Center Network, IncorporatedGroup PAC ID 1456307792, 12 clinicians

Practice addresses (Care Compare)

271 Finch Ave
Meriden, CT 06451-2715
Phone (203) 237-8084

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Franciscan Life Center Network, Incorporated CurrentSince Jan 1, 2014 Accepting new patients
Franciscan Life Center Network, Incorporated PastSince Jan 1, 2014 Accepting new patients

Locations

271 Finch Ave
Meriden, CT 06451
Phone (203) 237-8084

Interoperability endpoints

  • Direct secure messaging: franciscanlifecenter.joannajakubowska@131722.advancedmd-direct.com

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760587463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "271 FINCH AVE",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064512715",
            "telephone_number": "203-237-8084",
            "fax_number": "203-639-1333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "271 FINCH AVE",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064512715",
            "telephone_number": "203-237-8084",
            "fax_number": "203-639-1333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAKUBOWSKA",
        "first_name": "JOANNA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CT",
            "license": "037118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meriden, CT

Sources for this page

Verify at the official NPI Registry.