Lisa C Jacobson, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS008648L Issued in PA

Practice address

4 Terry Dr
The Atrium, Suite 7
Newtown, PA 18940-1838

Phone

(215) 860-1144

NPI assigned

Jun 18, 2008

Last updated

Jun 18, 2008By the provider in NPPES

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

Opted out of Medicare

Yes, effective Oct 15, 2009 through Oct 15, 2027

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Dr. Lisa C. Jacobson, PLLC

  • Clinical Psychologist
  • Langhorne, PA
  • NPI 1205683596
  NPD Authorized official
• Dr Jeffrey a Fine Associates PC

  • Clinical Psychologist
  • Newtown, PA
  • NPI 1104017516
  NPD (past)
• Main Line Affiliates

  • Psychiatry Physician
  • Radnor, PA
  • NPI 1083777239

  Clinical

  NPD (past)
• McKernan Therapy and Consultation

  • Mental Health Counselor
  • Newtown, PA
  • NPI 1346089133
  NPD (past)

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

{
    "created_epoch": "1213747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213747200000",
    "number": "1982865424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 TERRY DR",
            "address_2": "THE ATRIUM, SUITE 7",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189401838",
            "telephone_number": "215-860-1144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 TERRY DR",
            "address_2": "THE ATRIUM, SUITE 7",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189401838",
            "telephone_number": "215-860-1144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBSON",
        "first_name": "LISA",
        "middle_name": "C",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-18",
        "last_updated": "2008-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS008648L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Ip, LAC, DAC
• Irene Marie Erckert, PH.D., P.C.
• Brad Isserman, PH.D
• Joseph John Iuliano, D.M.D.
• Corrie L Jackson, PH.D.
• Allan Jaffe, D.P.M.
• Deion Malik James
• Lisa James, RDN
• Robert Joseph Jann Sr., PHD
• Margaret Jaros, LPN

• Clinical Psychologist in Newtown, PA
• Providers in Newtown, PA by specialty
• Clinical Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.