Dennis Joseph Jacobs, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

098928 Issued in MI

Practice address

5745 W Maple Rd
Suite 204
West Bloomfield, MI 48322-4468

Phone

(248) 626-4611

NPI assigned

Aug 13, 2006

Sex

Male

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

Enrolled in MI

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, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Affiliated Psychologists of Michigan, P.C.Group PAC ID 8426233248, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Affiliated Psychologists of Michigan, P.C.

  • Psychologist
  • Bloomfield Hills, MI
  • NPI 1396918199
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962414193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5745 W MAPLE RD",
            "address_2": "SUITE 204",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483224468",
            "telephone_number": "248-626-4611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5745 W MAPLE RD",
            "address_2": "SUITE 204",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483224468",
            "telephone_number": "248-626-4611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "DENNIS",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "098928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob Kalo, M.D.
• Jacob Kawwas DDS PLLC
• Angela Renee Jacob, D.P.M.
• Bruce Michael Jacob, D.P.M.
• Lisa Roselin Jacob, M.D.
• Howard Paul Jacobs, RPH
• Kulsoom Jafri, O.D
• Syed Mehdi Ali Jafri, DO
• Christopher George Jaghab, D.D.S.
• Anil K Jain, M.D.

• Psychologist in West Bloomfield, MI
• Providers in West Bloomfield, MI by specialty
• Psychologist in Michigan

• 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.
• 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.