Active NPI
Helene Renee Jacobs, M.D.
- Psychiatry Physician
- New York, NY
National Provider Identifier
1780833491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 182054
- Practice address
- 171 E 62ND St
New York, NY 10065-7605 - Phone
- (914) 300-3550
- Fax
- (914) 222-8311
- NPI assigned
- Sep 17, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 182054 | NY | Primary |
Addresses
Primary practice location
171 E 62ND St
New York, NY 10065-7605
Mailing address
171 E 62ND St
New York, NY 10065-7605
Phone (914) 300-3550
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 182054 | NY | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712620800000",
"number": "1780833491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "171 E 62ND ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100657605",
"telephone_number": "914-300-3550",
"fax_number": "914-222-8311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "171 E 62ND ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100657605",
"telephone_number": "914-300-3550",
"fax_number": "914-222-8311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACOBS",
"first_name": "HELENE",
"middle_name": "RENEE",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-09-17",
"last_updated": "2024-04-09",
"certification_date": "2024-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "182054",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.