DONALD M. JACOBSON, MD SC (NPI# 1043514391) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043514391 |
| Entity Type | Organization |
| Organization Name | DONALD M. JACOBSON, MD SC |
| Practice Address |
3701 Durand Ave Ste 325 Racine WI 53405-4480 |
| Practice Telephone | 2625989030 |
| Practice Fax Number | 2625989032 |
| Mailing Telephone | 2625989030 |
| Mailing Fax Number | 2625989032 |
| Enumeration Date | 2010-12-30 |
| Last Update Date | 2010-12-30 |
| Authorized Official Name | MRS. JOAN JACOBSON (VICE PRESIDENT) |
| Authorized Official Telephone | 2629306522 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 33729 | WI | Other Service Providers |
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
33729 | WI | Allopathic & Osteopathic Physicians |
| Street Address |
3701 DURAND AVE STE 325 |
| City | RACINE |
| State | WI |
| Zip Code | 53405-4480 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609407923 | Anita Kathy Nykaza | Dietitian, Registered | 3805 A Suite 311, Racine, WI 53405 | 2020-01-27 |
| 1023666062 | Shawn L Drulia | Physician Assistant | 3805 Spring St #320, Racine, WI 53405 | 2019-09-03 |
| 1235627720 | Oxygen One, Inc. | Durable Medical Equipment & Medical Supplies | 3805a Spring Street, Suite 210, Racine, WI 53405 | 2018-04-30 |
| 1356838650 | Melissa Metzger | Psychologist | 2340 Mohr Ave, Racine, WI 53405 | 2018-04-23 |
| 1689029217 | Melissa Ileen Swainston | Nurse Practitioner | 3803 Spring St., Suite Number 410, Racine, WI 53405 | 2016-05-02 |
| 1215305487 | Denetta Lauraelaine Flowers | Licensed Practical Nurse | 4311 Durand Ave., #104, Mt.pleasant, WI 53405 | 2015-09-04 |
| 1841675204 | Colleen Koderca | Registered Nurse | 3317-meachem Rd, Racine, WI 53405 | 2015-07-28 |
| 1790102986 | Georges Wakim | Specialist/Technologist | 3811 Spring St., Suite 102, Racine, WI 53405 | 2014-03-25 |
| 1982021176 | Matthew F Patzke | Specialist/Technologist | 3811 Spring Street Suite 102, Racine, WI 53405 | 2014-03-25 |
| 1073930269 | Jessica Geisler | Specialist/Technologist | 3811 Spring Street Suite #102, Racine, WI 53405 | 2014-03-25 |
| Find all providers in zip 53405 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912981796 | Donald M Jacobson | Psychiatry & Neurology | 3701 Durand Ave, Suite 325, Racine, WI 53405-4458 | 2005-12-05 |
| 1043207806 | William James Bjerregaard | Psychiatry & Neurology | 1244 Wisconsin Ave, Suite 303, Racine, WI 53403-1987 | 2005-10-05 |
| 1881085793 | Horizon Healthcare, Inc. | Psychiatry & Neurology | 800 Goold St, Racine, WI 53402-4567 | 2015-02-13 |
| 1841619103 | Layla Dinkha | Psychiatry & Neurology | 1320 Wisconsin Ave, Racine, WI 53403 | 2014-04-15 |
| 1457554990 | Harbor Medical & Associates Sc | Psychiatry & Neurology | 4810 Northwestern Ave, Racine, WI 53406-1504 | 2007-06-11 |
| 1689895617 | Sarah Maudlin | Psychiatry & Neurology | 1320 Wisconsin Ave, Racine, WI 53403-1978 | 2007-05-01 |
| 1609888320 | Nancy Schell | Psychiatry & Neurology | 1320 Wisconsin Ave, Racine, WI 53403-1978 | 2006-08-12 |
| 1922038900 | Joseph Bergs | Psychiatry & Neurology | 3805b Spring St, Suite 240, Racine, WI 53405-1641 | 2006-07-04 |
| 1578525580 | Vahag Vartanian | Psychiatry & Neurology | 1320 Wisconsin Ave, Racine, WI 53403-1978 | 2006-04-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144844069 | Ania Fida | Psychiatry & Neurology | 1900 Westwood Dr, Wausau, WI 54401-7842 | 2020-06-05 |
| 1740764034 | New Frontiers Tms LLC | Psychiatry & Neurology | 2675 N Mayfair Rd Ste 400, Milwaukee, WI 53226-1305 | 2018-09-21 |
| 1912492398 | Heidi Ruth Wohlrabe | Psychiatry & Neurology | 1010 Franklin St, Wausau, WI 54403-5012 | 2018-06-27 |
| 1811494628 | Udoyen Health LLC | Psychiatry & Neurology | 1414 W Park Pl, Suite 202, Milwaukee, WI 53224 | 2018-04-09 |
| 1053811307 | Bret Reynolds | Psychiatry & Neurology | 2000 Progress Road, New Lisbon Correctional Institute-health Services Unit, New Lisbon, WI 53950 | 2018-02-13 |
| 1194223933 | Forefront-holbrook Medical Service Corporation | Psychiatry & Neurology | W315n7677 State Road 83 Unit 20, Hartland, WI 53029-9784 | 2018-01-26 |
| 1972015048 | Suzanne Lee | Psychiatry & Neurology | 1835 Winnebago St. #402, Madison, WI 53704 | 2017-10-30 |
| 1790212603 | Imad Khan | Psychiatry & Neurology | Uw Hospitals & Clinics 600 Highland Avenue, Madison, WI 53792 | 2017-05-23 |
| 1275980799 | Pyrimad Psychiatric Services and Health Care Management Solutions | Psychiatry & Neurology | 2460 Prairie Flower Ln, De Pere, WI 54115-9373 | 2016-05-16 |
| 1659725497 | Chelsea Maria Sprick | Psychiatry & Neurology | 5000 W National Ave Fl 3, Milwaukee, WI 53295-3133 | 2016-04-18 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.