Diane Moira Jacobstein, MD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY1295 Issued in DC

Practice address

3800 Reservoir Rd NW
Harrison Building
Washington, DC 20007-2113

Phone

(202) 687-5372

Fax

(202) 687-8899

NPI assigned

Feb 19, 2010

Sex

Female

Sole proprietor

No

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)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

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

{
    "created_epoch": "1266537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365638400000",
    "number": "1922320852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 418283",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022418283",
            "telephone_number": "301-509-4215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 RESERVOIR RD NW",
            "address_2": "HARRISON BUILDING",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200072113",
            "telephone_number": "202-687-5372",
            "fax_number": "202-687-8899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBSTEIN",
        "first_name": "DIANE",
        "middle_name": "MOIRA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-19",
        "last_updated": "2013-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "DC",
            "license": "PSY1295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Kay Jacobsen, ARNP
• Andrea C Jacobson-Juarez, DPT
• Anna M Jacobson, APRN
• Howard John Jacobson, M.D.
• Thomas Alan Jacobson, PA-C
• Tyler James Jacques, D.M.D.
• Naike Christelle Jacquet, PNP
• Cyril Jacquot, M.D./PH.D.
• Taneisha Jacson, FNP-BC
• Jade Clinical Services

• Psychologist in Washington, DC
• Providers in Washington, DC by specialty
• Psychologist in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2013; 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.