MR. JACOB PALM (NPI# 1457476061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457476061 |
| Entity Type | Individual |
| Full Name | MR. JACOB PALM |
| Credential | PHD |
| Practice Address |
3711 Long Beach Blvd Suite 600 Long Beach CA 90807-3315 |
| Mailing Address |
4335 Atlantic Ave Long Beach CA 90807-2803 |
| Practice Telephone | 5624852275 |
| Practice Fax Number | 5629817569 |
| Mailing Telephone | 5624852275 |
| Mailing Fax Number | 5624909759 |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
PSY 20665 | CA | Behavioral Health & Social Service Providers |
| Street Address |
3711 LONG BEACH BLVD SUITE 600 |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90807-3315 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366467334 | Guy L Trimble Iv | Chiropractor | 3711 Long Beach Blvd, Ste. 200, Long Beach, CA 90807-3315 | 2006-07-12 |
| 1245717966 | Chau Phung | Nurse Practitioner | 3711 Long Beach Blvd, Long Beach, CA 90807-3315 | 2018-07-25 |
| 1780122085 | Emergent Care Obgyn Associates Inc | Emergency Medicine | 3711 Long Beach Blvd, Ste 700, Long Beach, CA 90807-3315 | 2017-02-07 |
| 1811442601 | Complete Women Care | Non-Pharmacy Dispensing Site | 3711 Long Beach Blvd, Suite 700, Long Beach, CA 90807-3315 | 2016-08-22 |
| 1659765279 | Trimble & Tieu Chiropractic, Inc | Chiropractor | 3711 Long Beach Blvd, Suite 200, Long Beach, CA 90807-3315 | 2015-03-20 |
| 1538558168 | Tiombe C Sewell | Marriage & Family Therapist | 3711 Long Beach Blvd, Suite 1016e, Long Beach, CA 90807-3315 | 2015-01-20 |
| 1083002745 | Pacific Wellness Center Chiropractic, Iseke Beltran Inc | Chiropractor | 3711 Long Beach Blvd, Suite 200, Long Beach, CA 90807-3315 | 2015-01-05 |
| 1518360122 | Jacqueline King | Obstetrics & Gynecology | 3711 Long Beach Blvd, Suite 700, Long Beach, CA 90807-3315 | 2014-09-27 |
| 1083013668 | Boris Gelman Md, Inc. | Anesthesiology | 3711 Long Beach Blvd, Suite 905, Long Beach, CA 90807-3315 | 2014-08-19 |
| 1225455124 | Judith Gaw | Registered Nurse | 3711 Long Beach Blvd, Long Beach, CA 90807-3315 | 2014-03-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992359434 | Kanna Lynn Curtis | Behavioral Analyst | 3491 Elm Avenue, Long Beach, CA 90807 | 2019-08-01 |
| 1891359394 | David Smith Samuel Tchon Dds Inc | Dentist | 4231 Long Beach Blvd, Long Beach, CA 90807 | 2019-04-30 |
| 1477038354 | Ryan Bacani | Registered Nurse | 4506 N Banner Drive Apt 3, Long Beach, CA 90807 | 2018-09-26 |
| 1508363516 | Joemari Salvani | Dentist | 4578 Atlantic Avenue, Long Beach, CA 90807 | 2018-04-07 |
| 1881110096 | Shafeeullah Hashim Gaines | Counselor | 4335 Altantic Ave, Long Beach, CA 90807 | 2017-08-18 |
| 1295259943 | Debresia Jackson | Community Health Worker | 900 E. Wardlow Rd, Long Beach, CA 90807 | 2017-08-02 |
| 1073036315 | United Mobile Rad LLC | Radiologic Technologist | 1720 E Cartagena St, Long Beach, CA 90807 | 2017-07-19 |
| 1336675800 | La-pham and Kansagra Dental Corporation | Dentist | 4578 Atlantic Ave, Long Beach, CA 90807 | 2017-05-03 |
| 1114462637 | Andunett Langhum | Counselor | 4335 Atlantic Blved, Long Beach, CA 90807 | 2016-12-20 |
| 1942742507 | Mt Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 3646 Long Beach Blvd Ste 212, Long Beach, CA 90807 | 2016-11-14 |
| Find all providers in zip 90807 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316016793 | Marie Louise Beech | Psychologist | 5199 E Pacific Coast Hwy Ste 510, Long Beach, CA 90804-3375 | 2006-11-07 |
| 1336315464 | Lauren E. Maltby | Psychologist | 4565 California Ave, Long Beach, CA 90807-1507 | 2008-05-08 |
| 1437325503 | Lindsey A. Watson | Psychologist | 100 E Wardlow Rd, Long Beach, CA 90807-4417 | 2008-05-07 |
| 1144417700 | Heather E Gibb | Psychologist | 3711 Long Beach Blvd, 6th Floor, Long Beach, CA 90807-3315 | 2007-09-27 |
| 1245357664 | Olivia Sanchez | Psychologist | 4300 Long Beach Blvd, Long Beach, CA 90807-2011 | 2007-03-22 |
| 1164548533 | Maria Trevino | Psychologist | 3711 Long Beach Blvd, Suite 600, Long Beach, CA 90807-3315 | 2007-03-21 |
| 1407971047 | Sue Sundareson | Psychologist | 3711 Long Beach Blvd, Suite 600, Long Beach, CA 90807-3315 | 2007-03-20 |
| 1912021106 | Terri Arreguin Santiago | Psychologist | 3711 Long Beach Blvd, Suite 600, Long Beach, CA 90807-3315 | 2007-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124631312 | Kathleen Carroll-wray | Psychologist | 818 W 7th St Ste 930, Los Angeles, CA 90017-3476 | 2020-08-26 |
| 1568082113 | Laura Adery | Psychologist | 760 Westwood Plz # 27-448, Los Angeles, CA 90095-8353 | 2020-04-23 |
| 1073148938 | Kristine Fleming | Psychologist | 4309 Campbell Dr, Pittsburg, CA 94565-6017 | 2020-03-11 |
| 1730711375 | Benjamin Alpert, Psyd, A Psychological Corporation | Psychologist | 2525 Camino Del Rio S Ste 305 Office2, San Diego, CA 92108-3717 | 2020-02-11 |
| 1073144010 | Melissa Alexis Ramirez | Psychologist | 1514 Caminito Soria Unit 2, Chula Vista, CA 91913-2503 | 2020-01-29 |
| 1063042851 | Making A Difference Association, Inc. | Psychologist | 1430 E Cooley Drive, Ste 111, Colton, CA 92324 | 2020-01-21 |
| 1184264533 | New Vision Counseling Center | Psychologist | 8050 La Mesa Blvd, La Mesa, CA 91942-0335 | 2020-01-14 |
| 1235778614 | Jessica Herbold | Psychologist | 1044 Sir Francis Drake Blvd Ste 7, Kentfield, CA 94904-1454 | 2020-01-02 |
| 1003478405 | Melissa Berrenge-browde | Psychologist | 820 Bay Avenue, Suite 205, Capitola, CA 95010-2102 | 2019-07-05 |
| 1811555840 | Rebecca Cole | Psychologist | 5149 High Meadow Court, Fremont, CA 94536 | 2019-06-04 |
| Find all providers with the same taxonomy | ||||
| City | LONG BEACH |
| Zip Code | 90807 |
Please comment or provide details below to improve the information on MR. JACOB PALM.
| 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.