DR. BEVERLY JACOBSON (NPI# 1538235759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538235759 |
| Entity Type | Individual |
| Full Name | DR. BEVERLY JACOBSON |
| Credential | PH.D. |
| Practice Address |
1210 S Bascom Ave San Jose CA 95128-3543 |
| Mailing Address |
290 I O O F Ave Gilroy CA 95020-5204 |
| Practice Telephone | 4082802611 |
| Practice Fax Number | 4082802651 |
| Mailing Telephone | 4982802611 |
| Mailing Fax Number | 4082802651 |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
PSY11761 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417144056 | Beverly J Jacobson | Counselor | 1187 Coast Village Rd, Suite 531, Montecito, CA 93108-2737 | 2007-09-27 |
| Street Address |
1210 S BASCOM AVE |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95128-3543 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033688015 | Tiffany Marie Que-smith | Occupational Therapist | 1210 S Bascom Ave, San Jose, CA 95128-3543 | 2018-11-19 |
| 1326593393 | Poonam Chokshi | Marriage & Family Therapist | 1210 S Bascom Ave, Suite 127, San Jose, CA 95128-3543 | 2016-08-19 |
| 1992169973 | Christopher Thomas | Behavioral Analyst | 1210 S Bascom Ave, Suite 127, San Jose, CA 95128-3543 | 2016-04-06 |
| 1669835906 | Yussra Nimeri | Behavioral Analyst | 1210 S Bascom Ave, Suite 127, San Jose, CA 95128-3543 | 2016-04-04 |
| 1700202405 | Mary Elizabeth Scholer | Occupational Therapist | 1210 S Bascom Ave, Suite 200, San Jose, CA 95128-3543 | 2014-03-05 |
| 1811277908 | Sharon Post | Marriage & Family Therapist | 1210 S Bascom Ave, Suite 114, San Jose, CA 95128-3543 | 2011-08-22 |
| 1932412129 | Jennifer Jean Sutera | Behavioral Analyst | 1210 S Bascom Ave, San Jose, CA 95128-3543 | 2010-07-16 |
| 1104087410 | Cristina | Social Worker | 1210 S Bascom Ave, Suite 122, San Jose, CA 95128-3543 | 2008-06-19 |
| 1114186210 | Claire Adalyn Wright | Marriage & Family Therapist | 1210 S Bascom Ave, Suite 114, San Jose, CA 95128-3543 | 2008-06-03 |
| 1821287210 | Elizabeth Sorensen Agnew | Marriage & Family Therapist | 1210 S Bascom Ave, Suite 114, San Jose, CA 95128-3543 | 2007-10-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982227138 | Ruth Larsen | Social Worker | 850 S. Bascom Avenue, Suite 280, San Jose, CA 95128 | 2020-05-22 |
| 1265067185 | Of Two Minds Psychotherapy | Marriage & Family Therapist | 190 S. Bascom Ave, Ste 130, San Jose, CA 95128 | 2020-03-11 |
| 1982244166 | Cindy Pantoja Escobar | Behavior Technician | 100 O'connor Drive, Suites 21, San Jose, CA 95128 | 2020-01-15 |
| 1104460591 | Katherine Alexandra Misogas | Pharmacist | 777 Turner Dr # 330, San Jose, CA 95128 | 2019-10-29 |
| 1942842216 | Jodie Pierce | Marriage & Family Therapist | 871 Enborg Lane, San Jose, CA 95128 | 2019-10-08 |
| 1003466434 | Dong Mi Cha | Pharmacist | 777 Turner Dr Ste 330, San Jose, CA 95128 | 2019-09-17 |
| 1114571759 | Sleep Well Acupuncture, Inc | Acupuncturist | 1361 S Winchester Blvd Suite 206, San Jose, CA 95128 | 2019-08-01 |
| 1083277677 | Wellocity, Inc | Health Educator | 334 Santana Row, 318, San Jose, CA 95128 | 2019-04-18 |
| 1518428812 | Alexander Diaz | Radiology | 75 South Bascom Ave, San Jose, CA 95128 | 2019-03-28 |
| 1720542103 | Nanci R Price Inc | Chiropractor | 100 O'connor Dr., Ste 27, San Jose, CA 95128 | 2019-01-30 |
| Find all providers in zip 95128 | ||||
| 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 |
|---|---|---|---|---|
| 1396906897 | Nina Lim | Psychologist | 2516 Autumnvale Ave, San Jose, CA 95131-3443 | 2008-06-18 |
| 1659420594 | Susan Anvin | Psychologist | 1769 Park Ave Ste 110, San Jose, CA 95126-2025 | 2007-01-09 |
| 1710045612 | H. Nicole Hess | Psychologist | 6620 Via Del Oro, San Jose, CA 95119-1451 | 2006-12-04 |
| 1255579363 | Gerri Lane Armstrong-walker | Psychologist | 3500 Zanker Rd, San Jose, CA 95134-2201 | 2009-01-27 |
| 1285894279 | Adriana Weyandt | Psychologist | 2400 Moorpark Ave, Suite 300, San Jose, CA 95128-2631 | 2008-06-12 |
| 1811022775 | Liza Bathori | Psychologist | 1101 S Winchester Blvd, Suite C-120, San Jose, CA 95128-3901 | 2007-02-22 |
| 1679623599 | Robert R Hardy | Psychologist | 175 Bernal Rd, Suite 140, San Jose, CA 95119-1343 | 2007-01-11 |
| 1578627956 | Theresa Ann Abrams | Psychologist | 175 Bernal Rd, San Jose, CA 95119-1343 | 2006-12-20 |
| 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 | ||||
Please comment or provide details below to improve the information on DR. BEVERLY JACOBSON.
| 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.