DR. JULIE A JACOBS


Address: 519 Midland Ct, Suite #102, Janesville, WI 53546-2336
Phone: 6087569090

DR. JULIE A JACOBS (NPI# 1386671485) 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) 1386671485
Entity Type Individual
Full Name DR. JULIE A JACOBS
Credential PH.D.
Practice Address 519 Midland Ct
Suite #102
Janesville
WI 53546-2336
Practice Telephone 6087569090
Practice Fax Number 6087562920
Mailing Telephone 6087569090
Mailing Fax Number 6087562920
Enumeration Date 2006-06-26
Last Update Date 2007-07-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
882-057 WI Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
WI 39046200 05

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Office Location

Street Address 519 MIDLAND CT
SUITE #102
City JANESVILLE
State WI
Zip Code 53546-2336

Providers in the same location

NPI Name Taxonomy Address Enumeration
1407897242 Neil B Gragg, Jr. Social Worker 519 Midland Ct, Suite #102, Janesville, WI 53546-2336 2006-06-10
1154410595 Bridgeway Psychological Associates Ltd. Psychologist 519 Midland Ct, Suite 102, Janesville, WI 53546-2348 2006-10-12
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1366911489 Latoya Christina Anderson Counselor 1818 Pershing Pl, Janesville, WI 53546 2018-11-19
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1689983793 Fve Mw LLC Assisted Living Facility 3801 North Wright Road, Janesville, WI 53546 2010-10-07
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Taxonomy Information

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

Taxonomy Definition

Definition to come...

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Competitor

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City JANESVILLE
Zip Code 53546

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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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