Lawrence David Jacobson, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY8947 Issued in NY

Practice address

30 E 20TH St
Suite 5F
New York, NY 10003-1310

Phone

(212) 533-5316

Fax

(212) 533-5316

NPI assigned

Jul 11, 2006

Sex

Male

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

Enrolled in NY

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.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417824000000",
    "number": "1922033893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 E 20TH ST",
            "address_2": "SUITE 5F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100031310",
            "telephone_number": "212-533-5316",
            "fax_number": "212-533-5316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 E 20TH ST",
            "address_2": "SUITE 5F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100031310",
            "telephone_number": "212-533-5316",
            "fax_number": "212-533-5316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBSON",
        "first_name": "LAWRENCE",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2014-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "PSY8947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill A. Jacobson, M.D.
• Jordan Ira Jacobson, D.M.D
• Juliet Jacobson, MD
• Kenneth H Jacobson, MD
• Laura Lee Jacobson, LCSW
• Leslie Jacobson, M.D.
• Lyn Jacobson, LMSW
• Maria Letizia Jacobson, LMSW
• Mark Nathan Jacobson, DDS
• Michael Jacobson, MD

• All providers in New York, NY
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2014; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.