TIMOTHY MICHAEL JACOBS (NPI# 1407293749) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407293749 |
| Entity Type | Individual |
| Full Name | TIMOTHY MICHAEL JACOBS |
| Practice Address |
1801 Vicente St San Francisco CA 94116-2923 |
| Mailing Address |
3204 Shattuck Ave Berkeley CA 94705-1825 |
| Practice Telephone | 4156813211 |
| Mailing Telephone | 4159130303 |
| Enumeration Date | 2013-05-28 |
| Last Update Date | 2013-05-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 167G00000X | Licensed Psychiatric Technician | 36563 | CA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609951458 | Timothy Lee Jacobs | Dentist | 2916 W Stolley Park Rd, Suite B, Grand Island, NE 68801-6807 | 2006-10-26 |
| 1740835503 | Timothy Allen Jacobs | Counselor | 927 N Pennsylvania St, Indianapolis, IN 46204-1020 | 2019-08-07 |
| 1518904200 | Timothy W Jacobs | Pathology | 1100 9th Ave, Virginia Mason Ctr., Pathology, Seattle, WA 98101-2756 | 2006-06-01 |
| 1063485191 | Timothy W. Jacobs | Family Medicine | 1025 Maine St, Quincy, IL 62301-4038 | 2006-02-09 |
| Street Address |
1801 VICENTE ST |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94116-2923 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437253721 | Deborah Ernestine Kopec | Registered Nurse | 1801 Vicente St, Edgewood Center for Children and Families, San Francisco, CA 94116-2923 | 2006-09-08 |
| 1235730375 | Nadia Lynn Rohlfs | Counselor | 1801 Vicente St, San Francisco, CA 94116-2923 | 2020-11-05 |
| 1396344255 | Hillary Chu | Registered Nurse | 1801 Vicente St, San Francisco, CA 94116-2923 | 2020-10-21 |
| 1285233353 | Thais Schwab | Counselor | 1801 Vicente St, San Francisco, CA 94116-2923 | 2020-10-20 |
| 1205434081 | Danyel Janet Kizzie Cheathon | Community Health Worker | 1801 Vicente St, San Francisco, CA 94116-2923 | 2020-10-13 |
| 1063010072 | Ariel Jaynus De Vera Buendia | Community Health Worker | 1801 Vicente St, San Francisco, CA 94116-2923 | 2020-10-12 |
| 1902404916 | Rachael Ann Wolf | Community Health Worker | 1801 Vicente St, San Francisco, CA 94116-2923 | 2020-10-12 |
| 1073120556 | Rezia Pearl Leopando | Community Health Worker | 1801 Vicente St, San Francisco, CA 94116-2923 | 2020-09-28 |
| 1982211546 | Lauren Marie Barretto | Counselor | 1801 Vicente St, San Francisco, CA 94116-2923 | 2020-09-28 |
| 1295342384 | Sarah Kral | Marriage & Family Therapist | 1801 Vicente St, San Francisco, CA 94116-2923 | 2020-09-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386275972 | Eric Lee | Behavior Technician | 2000 43rd Ave, San Francisco, CA 94116 | 2020-01-31 |
| 1376103176 | Young-in Kim | Physical Therapist | 3401 Taraval St, San Francisco, CA 94116 | 2019-06-14 |
| 1952806408 | Ramirez & Xia Dental Corp. | Dentist | 2409 Taraval St., San Francisco, CA 94116 | 2018-03-27 |
| 1043739337 | Cindi Lam | Community Health Worker | 375 Laguna Honda Blvd., B200, San Francisco, CA 94116 | 2017-09-18 |
| 1043735442 | Tammy Marie Buhler | Community Health Worker | 1990 41st Avenue, San Francisco, CA 94116 | 2017-08-07 |
| 1457875015 | Janet Bilafer-steiner | Nurse Practitioner | 2935 Travel Street, San Francisco, CA 94116 | 2017-07-26 |
| 1790225811 | Christopher Valles-martinez | Counselor | 1801 Vicente St, San Francisco, CA 94116 | 2017-03-08 |
| 1033659578 | Emiko Perez | Technician, Other | 2235 31st Ave, San Francisco, CA 94116 | 2017-03-02 |
| 1982070249 | Elizabeth Ancker | Counselor | 1800 Vicente Street, San Francisco, CA 94116 | 2015-08-20 |
| 1922432608 | Toby Wai Chang | Pharmacist | 2354 32nd Ave, San Francisco, CA 94116 | 2013-08-29 |
| Find all providers in zip 94116 | ||||
| Taxonomy Code | 167G00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Psychiatric Technician |
| An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental disorders and developmental disabilities. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780904664 | Tracy Cohen | Licensed Psychiatric Technician | 120 Page St Fl 2, San Francisco, CA 94102-5811 | 2010-06-02 |
| 1588265599 | Sean Paul Mulligan | Licensed Psychiatric Technician | 101 Gough St, San Francisco, CA 94102-5903 | 2020-11-05 |
| 1629699137 | Joel Estrellado | Licensed Psychiatric Technician | 245 11th St, San Francisco, CA 94103-3732 | 2020-05-06 |
| 1588199103 | Yaneta Quane Lacey | Licensed Psychiatric Technician | 52 Dore St, San Francisco, CA 94103-3828 | 2017-04-21 |
| 1477090207 | Kevin Nyokabi | Licensed Psychiatric Technician | 101 Gough St, San Francisco, CA 94102-5903 | 2017-01-31 |
| 1992241749 | Alyssa Dutt | Licensed Psychiatric Technician | 52 Dore St, San Francisco, CA 94103-3828 | 2017-01-17 |
| 1871036293 | Roger Walker | Licensed Psychiatric Technician | 52 Dore St, San Francisco, CA 94103-3828 | 2016-12-02 |
| 1407208721 | Josselyn Canas Alvarez | Licensed Psychiatric Technician | 245 11th St, San Francisco, CA 94103-3732 | 2016-07-11 |
| 1265896781 | Stephanie Fagundes | Licensed Psychiatric Technician | 982 Mission St Fl 2, San Francisco, CA 94103-2911 | 2016-04-11 |
| 1477926814 | Denisa Lino | Licensed Psychiatric Technician | 245 11th St, San Francisco, CA 94103-3732 | 2015-11-06 |
| Find all providers in SAN FRANCISCO | ||||
| City | SAN FRANCISCO |
| Zip Code | 94116 |
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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.