Janice Lyons Jacobs, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY6368 Issued in FL

Practice address

7035 Beracasa Way Ste 201
Boca Raton, FL 33433-3408

Phone

(561) 302-0887

Fax

(561) 419-6586

NPI assigned

Nov 20, 2006

Last updated

Jan 30, 2024By the provider in NPPES

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

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Janice Jacobs, PH.D., LLC

  • Clinical Psychologist
  • Boca Raton, FL
  • NPI 1710395165
  NPD Authorized official
• Neuro Connections Inc

  • Clinical Neuropsychologist
  • Coral Gables, FL
  • NPI 1821322447
  NPD (past)

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706572800000",
    "number": "1821162678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7234 CARMEL CT",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334335544",
            "telephone_number": "561-302-0887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7035 BERACASA WAY STE 201",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334333408",
            "telephone_number": "561-302-0887",
            "fax_number": "561-419-6586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "JANICE",
        "middle_name": "LYONS",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-20",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY6368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nirmala Rose Jacob, M.D.
• Sharon Anitha Jacob, DMD
• Adam Jacobs, DO
• Austin Alexander Jacobs, D.O.
• Dana Leigh Jacobs, MD
• Jay Paul Jacobs II, M.D.
• Jennifer J Jacobs, CRNA
• Jerrold Alan Jacobs
• Leonard Jacobs, D.D.S.
• Meghan Kelly Jacobs, PSY.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.

Verify at the official NPI Registry.