Stuart L Jacoby, EDD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

7279 Issued in MA

Practice address

93 Pond Street
Sharon, MA 02067-1626

Phone

(781) 724-7468

Fax

(781) 784-7671

NPI assigned

Jan 11, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770633091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 WALPOLE STREET",
            "city": "SHARON",
            "state": "MA",
            "postal_code": "020671626",
            "telephone_number": "781-724-7468",
            "fax_number": "781-784-7671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93 POND STREET",
            "city": "SHARON",
            "state": "MA",
            "postal_code": "020671626",
            "telephone_number": "781-724-7468",
            "fax_number": "781-784-7671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBY",
        "first_name": "STUART",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "EDD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MA",
            "license": "7279",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "W05780",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zainab Houdroge
• Huann-Sheng Huang, DPT, MS
• Ifrah Inam, PHARMD
• Inner Sight Psychotherapy, PC
• Norah Nassar Ismail
• Jacs Ops IV, Inc
• Jenifer L Jaeger, MD, MPH
• Parand Jalili
• Rita S James, LICSW
• Sandra Bisio Jansen, M.S.W., L.I.C.S.W.

• Psychologist in Sharon, MA
• Providers in Sharon, MA by specialty
• Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.