Individual provider Active NPI

Donald M Jacobson, MD

  • Psychiatry Physician
  • Racine, WI
National Provider Identifier
1912981796
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
33729 Issued in WI
Practice address
3701 Durand Ave
Suite 325
Racine, WI 53405-4458
Phone
(262) 598-9030
Fax
(262) 598-9032
NPI assigned
Dec 5, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 33729 WI Primary

Addresses

Primary practice location

3701 Durand Ave
Suite 325
Racine, WI 53405-4458

Mailing address

3701 Durand Ave
Suite 325
Racine, WI 53405-4458
Phone (262) 598-9030

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 Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Child, Marriage & Family Therapy Clinic Past Accepting new patients
Tungseth Psychotherapy Clinic LLC Past Accepting new patients
Bioserenity DT Inc. PastSince Dec 15, 2011 Accepting new patients
The Sleep Wellness Institute Inc Past Accepting new patients
The Sleep Wellness Institute Inc PastSince Mar 4, 2021 Accepting new patients

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1133740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1912981796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 DURAND AVE",
            "address_2": "SUITE 325",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534054458",
            "telephone_number": "262-598-9030",
            "fax_number": "262-598-9032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 DURAND AVE",
            "address_2": "SUITE 325",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534054458",
            "telephone_number": "262-598-9030",
            "fax_number": "262-598-9032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBSON",
        "first_name": "DONALD",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-05",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WI",
            "license": "33729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Racine, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.