RONALD STEWART JACOBSON


Address: 2580 Potters Rd, Virginia Beach, VA 23454-4324
Phone: 7574989391

RONALD STEWART JACOBSON (NPI# 1063465870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063465870
Entity Type Individual
Full Name RONALD STEWART JACOBSON
Credential PHD
Practice Address 2580 Potters Rd
Virginia Beach
VA 23454-4324
Practice Telephone 7574989391
Practice Fax Number 7574987073
Mailing Telephone 7574989391
Mailing Fax Number 7574987073
Enumeration Date 2006-05-19
Last Update Date 2007-07-09
Gender Code M
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
0810000305 VA Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
VA 00704143 05
VA ANTHEM BCBS 257774 01
VA SENTARA/OPTIMA HEALTH CAR O83564 01

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Office Location

Street Address 2580 POTTERS RD
City VIRGINIA BEACH
State VA
Zip Code 23454-4324

Providers in the same location

NPI Name Taxonomy Address Enumeration
1790757656 Talya Gershon Counselor 2580 Potters Rd, Virginia Beach, VA 23454-4324 2006-02-06
1093126690 Jessica Milligan Physician Assistant 2580 Potters Rd, Virginia Beach, VA 23454-4324 2014-05-16
1578900759 Janelle Lynn Mason Psychologist 2580 Potters Rd, Virginia Beach, VA 23454-4324 2013-05-29
1235470733 Paul Walker Jr. Psychologist 2580 Potters Rd, Virginia Beach, VA 23454-4324 2013-03-07
1285871038 Dominion Psychiatric Associates Counselor 2580 Potters Rd, Virginia Beach, VA 23454-4324 2009-01-15
1811144777 Emilio G Cortes Psychologist 2580 Potters Rd, Virginia Beach, VA 23454-4324 2008-08-22
1124289392 Elizabeth A Kamin Psychiatry & Neurology 2580 Potters Rd, Virginia Beach, VA 23454-4324 2008-06-20
1033283593 Leslie E Murray Psychiatry & Neurology 2580 Potters Rd, Virginia Beach, VA 23454-4324 2006-11-17
1801967344 Edward Vicar Reynolds IIi Psychologist 2580 Potters Rd, Virginia Beach, VA 23454-4324 2006-11-13
1255402004 Vike Cornelai Xides Social Worker 2580 Potters Rd, Virginia Beach, VA 23454-4324 2006-11-13
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1356877492 Quest Psychological and Counseling Services Psychologist 913 First Colonial Rd, Suite 204, Virginia Beach, VA 23454-3198 2017-05-10
1659730562 Rebecca Houvener Psychologist 1120 First Colonial Rd Ste 202, Virginia Beach, VA 23454 2016-02-19
1386019867 Stephen William Smith Psychologist 2312 Plantation Dr, Virginia Beach, VA 23454-2739 2015-12-09
1588052047 Mia Bartoletti Psychologist 3160 Page Ave, Unit 200, Virginia Beach, VA 23451-7316 2015-01-06
1386048858 Adela Roxas Psychologist 328 Office Square Ln Ste 104, Virginia Beach, VA 23462-3648 2014-10-13
1326462128 Jessica Smith Psychologist 900 Commonwealth Pl Ste 200-335, Virginia Beach, VA 23464-4517 2014-02-13
1316361256 Rashida A Jones Psychologist 508 S Independence Blvd Ste 100, Virginia Beach, VA 23452 2014-02-12
1619302866 David Michael Mitchell Psychologist 1153 Taylor Rd, Virginia Beach, VA 23464-4081 2013-09-06
1548500028 Lena Kessler Psychologist 4164 Virginia Beach Blvd Ste 204, Virginia Beach, VA 23452-1762 2013-02-21
1992041040 Fonya Lord Helm, Ph.d., P.c Psychologist 504 Susan Constant Dr, Virginia Beach, VA 23451-2150 2012-12-18
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Competitor

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City VIRGINIA BEACH
Zip Code 23454

Improve Information

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Dataset Information

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.

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