Jeanne Jakob, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

28384 Issued in CA

Practice address

800 Pollard Rd Ste B201
Los Gatos, CA 95032-1429

Phone

(650) 429-8787

NPI assigned

Sep 8, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 1, 2017 through Jan 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

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.

• Inside Out Psychology Inc

  • Clinical Psychologist
  • Los Gatos, CA
  • NPI 1316718711
  NPD Authorized official

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

{
    "created_epoch": "1252368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675728000000",
    "number": "1780917815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 POLLARD RD STE B201",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950321429",
            "telephone_number": "650-429-8787",
            "fax_number": "855-573-1033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 POLLARD RD STE B201",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950321429",
            "telephone_number": "650-429-8787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAKOB",
        "first_name": "JEANNE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-08",
        "last_updated": "2023-02-07",
        "certification_date": "2023-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "28384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annika Marguerite Jackson, LMFT
• Judy Jackson, MFT
• Kelsey Jacobsen, CCC-SLP
• Paulette Deanne Jacome, PH.D.
• Vivek Jain
• James Petros, M.D., Inc.
• James R. Cohen MD Medical Corporation
• Jacqlyn Jameson
• Jane W Chien MD Inc
• Jennifer Terese Janeczko, COTA/L

• Clinical Psychologist in Los Gatos, CA
• Providers in Los Gatos, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2023; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.