JEANETTE S. JACOBS, PSY.D. (NPI# 1215404801) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215404801 |
| Entity Type | Organization |
| Organization Name | JEANETTE S. JACOBS, PSY.D. |
| Practice Address |
1109 W Euclid Ave Deland FL 32720-6553 |
| Practice Telephone | 3869439040 |
| Mailing Telephone | 3869439040 |
| Enumeration Date | 2018-11-01 |
| Last Update Date | 2018-11-01 |
| Authorized Official Name | DR. JEANETTE S JACOBS (LICENSED CLINICAL PSYCHOLOGIST) |
| Authorized Official Telephone | 3869439040 |
| Authorized Official Credential | PSY.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Street Address |
1109 W EUCLID AVE |
| City | DELAND |
| State | FL |
| Zip Code | 32720-6553 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699753574 | Donald Lee Sanz | Psychologist | 1109 W Euclid Ave, Deland, FL 32720-6553 | 2006-01-02 |
| 1871083642 | Katharine Usher, Inc. | Counselor | 1109 W Euclid Ave, Deland, FL 32720-6553 | 2018-05-16 |
| 1114162070 | Kristy M Forare Psyd LLC | Psychologist | 1109 W Euclid Ave, Deland, FL 32720-6553 | 2008-12-08 |
| 1205080884 | Kristy Miller Forare | Psychologist | 1109 W Euclid Ave, Deland, FL 32720-6553 | 2008-11-10 |
| 1932357993 | Susan Lloyd-merrick | Psychologist | 1109 W Euclid Ave, Deland, FL 32720-6553 | 2008-09-03 |
| 1003089483 | Sanz & Sanz Psychological Associates LLC | Psychologist | 1109 W Euclid Ave, Deland, FL 32720-6553 | 2008-04-08 |
| 1114047891 | Jeanette Stewart Jacobs | Psychologist | 1109 W Euclid Ave, Deland, FL 32720-6553 | 2007-03-29 |
| 1609897891 | June C. Sitler | Massage Therapist | 1109 W Euclid Ave, Deland, FL 32720-6553 | 2006-07-22 |
| 1881664449 | Jack Henry Schneller Jr. | Psychologist | 1109 W Euclid Ave, Deland, FL 32720-6553 | 2006-01-25 |
| 1679551428 | Anita Katalin Sanz | Psychologist | 1109 W Euclid Ave, Deland, FL 32720-6553 | 2006-01-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679171532 | Kimberlee C Del Campo | Nurse Practitioner | 1590 S, State Highway 15a, Deland, FL 32720 | 2020-10-13 |
| 1699304840 | Grace Haven LLC | In Home Supportive Care | 805 S Stone St, Deland, FL 32720 | 2020-04-08 |
| 1609407766 | Michelle Rene' Tutt | Nurse Practitioner | 1590 South State Hwy 15a, Deland, FL 32720 | 2020-01-28 |
| 1902448715 | Volusia Medical Center LLC | Family Medicine | 850 N. Stone Street, Deland, FL 32720 | 2019-10-14 |
| 1548748957 | Christopher Lee Paik | Internal Medicine | 107 N Stone St, St A, Deland, FL 32720 | 2018-07-30 |
| 1164961041 | Melissa Sorensen | Counselor | 970 N Spring Ave, 523, Deland, FL 32720 | 2017-02-13 |
| 1669910329 | Stefanie Briann Yockey | Counselor | 804 N. Woodland Blvd., Deland, FL 32720 | 2017-02-02 |
| 1144648809 | Steven Shinn | Internal Medicine | 1590 S Sr 15a Ste 100, Deland, FL 32720 | 2014-03-31 |
| 1164843710 | Malgorzata Anna Szelwach | Occupational Therapist | 1590 State Rt 15a Suite B, Deland, FL 32720 | 2013-12-29 |
| 1730510926 | Adriana Marquez | Community/Behavioral Health | 33218 Tomahawk Trail, Deland, FL 32720 | 2013-12-12 |
| Find all providers in zip 32720 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073114823 | Community Behavior Care LLC | Clinic/Center | 221 Ne 164th Street, Unit 276, North Miami Beach, FL 33160 | 2020-11-06 |
| 1912508938 | Melissa Frieder, LLC | Clinic/Center | 7001 Sw 97th Ave Ste 203, Miami, FL 33173-1407 | 2020-11-05 |
| 1073114278 | Love Family Health Center Corp | Clinic/Center | 313 Palm Ave, Hialeah, FL 33010-4715 | 2020-11-04 |
| 1235730417 | Aspire Health Partners, Inc. | Clinic/Center | 4520 Oak Fair Blvd, Tampa, FL 33610-7356 | 2020-11-04 |
| 1053912469 | Loves Community Mental Health Inc | Clinic/Center | 2 Nw 30th Ave, Miami, FL 33125 | 2020-11-03 |
| 1437759032 | Loves Community Mental Health Inc | Clinic/Center | 3011 W Flagler St Unit A, Miami, FL 33135-1222 | 2020-11-01 |
| 1790385342 | New Family Wellness Center Inc | Clinic/Center | 8200 Nw 41st St Ste 200-98, Doral, FL 33166-6205 | 2020-10-31 |
| 1619577475 | Prestige Behavioral Health Center, LLC | Clinic/Center | 7318 W 20th Ave, Hialeah, FL 33016-1855 | 2020-10-29 |
| 1255931101 | Pine Grove Counseling LLC | Clinic/Center | 539 Se Van Loon Ter, Cape Coral, FL 33990-1157 | 2020-10-29 |
| 1831799766 | Mindset Mental Health Services Inc | Clinic/Center | 12485 Sw 137th Ave Ste 109, Miami, FL 33186-4215 | 2020-10-29 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on JEANETTE S. JACOBS, PSY.D..
| 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.