DR. DAVID MICHAEL JACOBI (NPI# 1164600797) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164600797 |
| Entity Type | Individual |
| Full Name | DR. DAVID MICHAEL JACOBI |
| Credential | PH.D. |
| Practice Address |
3425 Superior Ave Sheboygan WI 53081-1863 |
| Practice Telephone | 9204585557 |
| Mailing Telephone | 9204585557 |
| Enumeration Date | 2008-02-06 |
| Last Update Date | 2008-02-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
2689-057 | WI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821166364 | David R. Jacobi | Internal Medicine | Henry Ford Health System, 19401 Hubbard Drive, Dearborn, MI 48126 | 2006-12-01 |
| Street Address |
3425 SUPERIOR AVE |
| City | SHEBOYGAN |
| State | WI |
| Zip Code | 53081-1863 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629054093 | Jeffrey T Kroening | Counselor | 3425 Superior Ave, Sheboygan, WI 53081-1863 | 2005-12-19 |
| 1437622115 | Loraine J Lauver-tobin | Social Worker | 3425 Superior Ave, Sheboygan, WI 53081-1863 | 2019-01-06 |
| 1174074900 | Paula Jakubowski | Counselor | 3425 Superior Ave, Sheboygan, WI 53081-1863 | 2016-10-17 |
| 1538560131 | Walter Catalan | Counselor | 3425 Superior Ave, Sheboygan, WI 53081-1863 | 2014-09-15 |
| 1538590211 | Alexandra Liosatos | Counselor | 3425 Superior Ave, Sheboygan, WI 53081-1863 | 2013-12-06 |
| 1336418714 | Lkg, LLC | Psychiatry & Neurology | 3425 Superior Ave, Sheboygan, WI 53081-1863 | 2011-12-14 |
| 1396067708 | Russell L. Schultz | Social Worker | 3425 Superior Ave, Sheboygan, WI 53081-1863 | 2010-02-26 |
| 1629304597 | Rachel J Gretebeck | Counselor | 3425 Superior Ave, Sheboygan, WI 53081-1863 | 2009-10-27 |
| 1033389085 | John Leo Olsen | Psychiatry & Neurology | 3425 Superior Ave, Sheboygan, WI 53081-1863 | 2008-03-06 |
| 1538263736 | Anne Lorraine Beck | Social Worker | 3425 Superior Ave, Sheboygan, WI 53082-0387 | 2006-09-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770053696 | Kathy Hughes Counseling, LLC | Community/Behavioral Health | 630 Riverfront Dr Ste 203, Sheboygan, WI 53081 | 2018-12-04 |
| 1780159004 | Great Lakes Clinic and Consultants, LLC | Clinic/Center | 1407 North 8th Street, Suite 203, Sheboygan, WI 53081 | 2018-10-13 |
| 1174032106 | Laura Elizabeth Manning | Registered Nurse | 325 Linocln Ave, Sheboygan, WI 53081 | 2017-09-21 |
| 1043733686 | Chasidy D Wilke | Behavioral Analyst | 2223 Terrace View Dr Apt 3a, Sheboygan, WI 53081 | 2017-07-25 |
| 1700320074 | Darlene Wilken | Counselor | 2842 S. Business Dr, Sheboygan, WI 53081 | 2016-12-06 |
| 1942652185 | Jacob Steven Son | Dentist | 3555 Wasington Ave., Sheboygan, WI 53081 | 2016-07-12 |
| 1225491749 | Cassandra Lea Loehndorf | Social Worker | 3321 S. 12th St., Sheboygan, WI 53081 | 2016-04-01 |
| 1003201112 | Jason Meinhardt | Dentist | 2115 S Memorial Pl, Sheboygan, WI 53081 | 2015-04-06 |
| 1346634110 | Christopher Lenz | Specialist/Technologist | 2920 Superior Ave., Prevea Orthopedics, Sheboygan, WI 53081 | 2015-03-19 |
| 1780008060 | James Simac | Counselor | 503 Wisconsin Ave., Sheboygan, WI 53081 | 2014-02-07 |
| Find all providers in zip 53081 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508939372 | Associated Psychological Health Services | Psychologist | 2808 Kohler Memorial Dr, Ste 1, Sheboygan, WI 53081-3166 | 2006-11-17 |
| 1831537307 | Toby Tyler Watson | Psychologist | 2808 Kohler Memorial Drive, Suite 1, Sheboygan, WI 53081-3166 | 2013-06-06 |
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| 1881295863 | Emotive Action Counseling Services LLC | Psychologist | 9235 W Capitol Dr Ste 402, Milwaukee, WI 53222-1567 | 2020-11-05 |
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| 1871138115 | Point Counseling Center LLC | Psychologist | 1547 Strongs Ave Ste D, Stevens Point, WI 54481-3566 | 2019-11-11 |
| 1508417916 | Cassandra D Pasquariello | Psychologist | Department of Athletics, 1440 Monroe Street, Madison, WI 53711 | 2019-09-26 |
| 1023673563 | Robert E Young | Psychologist | 735 N Water St Ste 712, Milwaukee, WI 53202-4104 | 2019-05-09 |
| 1346705951 | Joseph John Abhold | Psychologist | 402 Graham Ave Ste 208, Eau Claire, WI 54701-2633 | 2019-02-07 |
| 1972075661 | Moonlight Psychotherapy and Psychological Services, LLC | Psychologist | 205 5th Ave S Ste 428, La Crosse, WI 54601-4059 | 2018-12-19 |
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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.