Active NPI
Stephen F. Jacobus, PHD
- Psychologist
- Bridgewater, NJ
National Provider Identifier
1881819944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 3693
- Practice address
- 250 State Route 28
Suite 206
Bridgewater, NJ 08807-1979 - Phone
- (908) 534-1233
- NPI assigned
- Apr 16, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 3693 | NJ | Primary |
Addresses
Primary practice location
250 State Route 28
Suite 206
Bridgewater, NJ 08807-1979
Mailing address
315 Mountain Rd
Lebanon, NJ 08833-5030
Phone (908) 534-1233
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3693 | NJ | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1881819944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "315 MOUNTAIN RD",
"city": "LEBANON",
"state": "NJ",
"postal_code": "088335030",
"telephone_number": "908-534-1233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 STATE ROUTE 28",
"address_2": "SUITE 206",
"city": "BRIDGEWATER",
"state": "NJ",
"postal_code": "088071979",
"telephone_number": "908-534-1233"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACOBUS",
"first_name": "STEPHEN",
"middle_name": "F.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NJ",
"license": "3693",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bridgewater, NJ
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.