DR. MEGHAN KELLY JACOBS (NPI# 1457650673) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457650673 |
| Entity Type | Individual |
| Full Name | DR. MEGHAN KELLY JACOBS |
| Other Name | MEGHAN KELLY DURKIN |
| Credential | PSY.D. |
| Practice Address |
9970 Central Park Blvd N Suite 207 Boca Raton FL 33428-2231 |
| Mailing Address |
6941 Bruce Ct Lake Worth FL 33463-7469 |
| Practice Telephone | 5612454622 |
| Practice Fax Number | 5616136476 |
| Mailing Telephone | 9548951812 |
| Mailing Fax Number | 9543157939 |
| Enumeration Date | 2011-03-28 |
| Last Update Date | 2014-09-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | PY8252 | FL | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
PY8252 | FL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538703921 | Meghan Nicole Jacobs | Specialist/Technologist | 610 Purdue Mall, West Lafayette, IN 47907-2040 | 2019-10-29 |
| 1912380304 | Meghan Jacobs | Speech-Language Pathologist | 211 W Edgewood Dr, Mc Murray, PA 15317-3311 | 2015-07-02 |
| 1952449027 | Meghan S Jacobs | Physician Assistant | 1627 I St Nw Ste 800, Washington, DC 20006-4088 | 2007-02-02 |
| 1013304732 | Meghan E Jacobs | Student in an Organized Health Care Education/Training Program | 750 E Adams St, Syracuse, NY 13210-2306 | 2015-04-21 |
| 1104048735 | Meghan Heyer Jacobs | Physical Therapist | 622 W. 168th Street, New York, NY 10032 | 2007-05-03 |
| Street Address |
9970 CENTRAL PARK BLVD N SUITE 207 |
| City | BOCA RATON |
| State | FL |
| Zip Code | 33428-2231 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366445736 | Luis Yomtov Salazar | Internal Medicine | 9970 Central Park Blvd N, Ste 101, Boca Raton, FL 33428-2231 | 2005-05-31 |
| 1770089559 | Jolie Cannata | Obstetrics & Gynecology | 9970 Central Park Blvd N, Boca Raton, FL 33428-2231 | 2018-04-02 |
| 1851893986 | Alla Stepanova | Nurse Practitioner | 9970 Central Park Blvd N, Boca Raton, FL 33428-2231 | 2018-03-05 |
| 1831568179 | 21st Century Oncology LLC | Urology | 9970 Central Park Blvd N, Suite 207, Boca Raton, FL 33428-2231 | 2015-09-16 |
| 1831567296 | Gensiscare Usa of Florida LLC | Internal Medicine | 9970 Central Park Blvd N, Suite 304, Boca Raton, FL 33428-2231 | 2015-09-02 |
| 1093101784 | Island Life Md LLC | Family Medicine | 9970 Central Park Blvd N, Suite 102, Boca Raton, FL 33428-2231 | 2015-04-09 |
| 1033522677 | Krista Farnes | Specialist/Technologist | 9970 Central Park Blvd N, Suite 300, Boca Raton, FL 33428-2231 | 2014-06-10 |
| 1487085809 | Palm Beach Psychology Group, LLC | Psychologist | 9970 Central Park Blvd N, Sutie 207, Boca Raton, FL 33428-2231 | 2013-12-11 |
| 1952656951 | Jennifer Cadena Lopez | Physician Assistant | 9970 Central Park Blvd N, Suite 403, Boca Raton, FL 33428-2231 | 2012-07-17 |
| 1174881163 | Katherine Paige Crawford | Physical Therapist | 9970 Central Park Blvd N, Suite 300-b, Boca Raton, FL 33428-2231 | 2012-04-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174016604 | Eliane Dos Santos Lamarche | Behavior Technician | 11514 Country Sound Ct, Boca Raton, FL 33428 | 2018-06-09 |
| 1447740840 | Wilzade Joseph | Assisted Living Facility | 22319 Sw 65th Ave, Boca Raton, FL 33428 | 2018-05-11 |
| 1477065316 | Pamela Manning | Nurse Practitioner | 9864 Grand Verde Way Apt 1507, Boca Raton, FL 33428 | 2017-11-01 |
| 1912428624 | Carole Mandat | Assistant Behavior Analyst | 11083 Baybreeze Way, Boca Raton, FL 33428 | 2017-07-03 |
| 1679025571 | Tam Thu Tran | Physician Assistant | 22864 Neptune Road, Boca Raton, FL 33428 | 2016-10-27 |
| 1922458355 | Zurab Akakievich Iosava | Specialist/Technologist, Other | 21644 State Road 7. (hwy 441), Boca Raton, FL 33428 | 2016-06-16 |
| 1497125280 | Robert Jay Drimmer | Internal Medicine | 21357 Bridgeview Drive, Boca Raton, FL 33428 | 2015-10-06 |
| 1710391966 | Pathway 2 Recovery Gold Coast | Clinic/Center | 23116a Sandal Foot Plaza Drive, Boca Raton, FL 33428 | 2014-06-16 |
| 1134564727 | Mary Margaret Spitzer | Nurse Practitioner | 9980 Central Park Blvdn, Boca Ration, FL 33428 | 2013-05-08 |
| 1619312816 | Alan Wasserman | Dentist | 22053 S.r. 7, Boca Raton, FL 33428 | 2013-05-02 |
| Find all providers in zip 33428 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457698763 | Brain Lane Memory Center LLC | Clinical Neuropsychologist | 930 Parkside Cir N, Boca Raton, FL 33486-5229 | 2013-01-07 |
| 1528225372 | Marnee Firestone Schneider | Clinical Neuropsychologist | 398 W Camino Gardens Blvd, Suite 201, Boca Raton, FL 33432 | 2008-05-20 |
| 1992920367 | Margaret Carthas Petry | Clinical Neuropsychologist | 12731 Yardley Dr, Boca Raton, FL 33428-4867 | 2007-04-13 |
| 1942309042 | Sue E Antell | Clinical Neuropsychologist | 551 Nw 77th St, Suite 100, Boca Raton, FL 33487-1330 | 2006-09-22 |
| 1316215742 | Laurence Miller Phd Pa | Clinical Neuropsychologist | 399 Camino Gardens Blvd, Suite101, Boca Raton, FL 33432-5828 | 2011-12-13 |
| 1477769859 | Wasserman and Drucker Pa | Clinical Neuropsychologist | 21301 Powerline Rd, Suite 201, Boca Raton, FL 33433-2388 | 2007-05-15 |
| 1457492860 | Sharon Louise Brown | Clinical Neuropsychologist | 4400 N Federal Hwy, #210, Boca Raton, FL 33431-5187 | 2007-02-09 |
| 1811049562 | Sharon M Theroux | Clinical Neuropsychologist | 7100 West Camino Real, Suite #123, Boca Raton, FL 33433-5510 | 2007-01-16 |
| 1447322557 | Steven Michael Essig | Clinical Neuropsychologist | 1601 Clint Moore Rd, Suite 120, Boca Raton, FL 33487-2768 | 2006-11-14 |
| 1821169046 | Sherry Ann Palamara | Clinical Neuropsychologist | 7301 W Palmetto Park Rd, Suite 204a, Boca Raton, FL 33433-3458 | 2006-11-10 |
| Find all providers in BOCA RATON | ||||
| City | BOCA RATON |
| Zip Code | 33428 |
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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.