Marni L. Jacob, PH.D., LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

MARNI L. JACOB, PH.D., LLC

Practice address

1200 N Federal Hwy Ste 200
Boca Raton, FL 33432-2813

Phone

(561) 325-5115

NPI assigned

Sep 1, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Marni L. Jacob, PH.D.

Title

Owner/Clinical Director

Phone

(561) 325-5115

Specialties & licenses 1

Addresses

Other names 1

• Jacob Center for Evidence-Based Treatment Doing business as

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

{
    "created_epoch": "1598918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598918400000",
    "number": "1770197410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 N FEDERAL HWY STE 200",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334322813",
            "telephone_number": "561-325-5115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N FEDERAL HWY STE 200",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334322813",
            "telephone_number": "561-325-5115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARNI L. JACOB, PH.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-01",
        "last_updated": "2020-09-01",
        "certification_date": "2020-09-01",
        "status": "A",
        "authorized_official_last_name": "JACOB",
        "authorized_official_first_name": "MARNI",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER/CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "561-325-5115",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jacob Center for Evidence-Based Treatment",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Yifat Markowitz
• Michael Alan Marks, D.C.
• Karen B. Markus-Handis, LCSW
• Nathan Michael Markwart, D.O.
• Marni Feuerman, PA
• Stephen R.. Marofsky, D.C.
• Anne M Marotta, MBA
• Matthew Marques, MD
• Rafael Da Costa Marques, PHYSICAL THERAPIST
• Ricardo Marques

• Psychologist in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2020; 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.