Active NPI
Bryce Jacobson, PSYD
- Clinical Psychologist
- Cambridge, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 11820
- Practice address
- 625 Mount Auburn St Ste 205a
Cambridge, MA 02138-4530 - Phone
- (617) 259-1895
- NPI assigned
- Apr 11, 2019
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 11820 | MA | Primary |
Addresses
Primary practice location
625 Mount Auburn St Ste 205a
Cambridge, MA 02138-4530
Mailing address
22456 SE Sawyer Ridge Way
Black Diamond, WA 98010-1311
Phone (253) 347-3767
Other practice location 1
1493 Cambridge St
Cambridge, MA 02139-1047
Phone (617) 665-1183
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Loma Linda University School of Medicine, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
625 Mount Auburn St
Suite 205a
Cambridge, MA 02138-4530
Phone (617) 259-1895
89 Access Rd
Suite 24
Norwood, MA 02062-5233
Phone (781) 551-0999
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11820 | MA | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Child and Family Psychological Services, PLLC | Psychologist | Current | Accepting new patients |
Locations
160 Commonwealth Ave
Ste U3
Boston, MA 02116
Phone (425) 708-8823
625 Mount Auburn St
Ste 205A
Cambridge, MA 02138
Phone (617) 396-5850
89 Access Rd
Ste 24
Norwood, MA 02062
Phone (781) 336-5040
169 Libbey Park
Weymouth, MA 02189
Phone (508) 238-7766
Organizations & group practices 1
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.
-
- Psychologist
- Norwood, MA
- NPI 1912987181
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772064000000",
"number": "1922561372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22456 SE SAWYER RIDGE WAY",
"city": "BLACK DIAMOND",
"state": "WA",
"postal_code": "980101311",
"telephone_number": "253-347-3767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 MOUNT AUBURN ST STE 205A",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021384530",
"telephone_number": "617-259-1895"
}
],
"practiceLocations": [
{
"address_1": "1493 Cambridge St",
"address_purpose": "LOCATION",
"city": "Cambridge",
"state": "MA",
"postal_code": "021391047",
"country_code": "US",
"telephone_number": "617-665-1183",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JACOBSON",
"first_name": "BRYCE",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-11",
"last_updated": "2026-02-26",
"certification_date": "2026-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "11820",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cambridge, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2026; 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.