DR. DALE M. JACOBS (NPI# 1699987628) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699987628 |
| Entity Type | Individual |
| Full Name | DR. DALE M. JACOBS |
| Credential | M.D. |
| Practice Address |
1240 Sussex Tpke Suite # 4 Randolph NJ 07869-2944 |
| Mailing Address |
167 Washington Valley Rd Morristown NJ 07960-3339 |
| Practice Telephone | 9732923885 |
| Mailing Telephone | 9732923885 |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TP0016X |
Psychologist Specialization: Prescribing (Medical) |
25MA02571600 | NJ | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508969890 | Dale Travers Jacobs | Dentist | 12225 Greenville Ave, Suite 122, Dallas, TX 75243-2081 | 2006-09-05 |
| Street Address |
1240 SUSSEX TPKE SUITE # 4 |
| City | RANDOLPH |
| State | NJ |
| Zip Code | 07869-2944 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730183088 | Joseph Thomas Boorady | Optometrist | 1240 Sussex Tpke, Ste 4, Randolph, NJ 07869-2944 | 2005-06-01 |
| 1184905150 | Jennifer E. Geuther | Counselor | 1240 Sussex Tpke, Suite 4, Randolph, NJ 07869-2944 | 2011-09-06 |
| 1902001852 | Bonnie Weiss | Social Worker | 1240 Sussex Tpke, Suite 4, Randolph, NJ 07869-2944 | 2007-06-20 |
| 1568676567 | Maria M. Meehan | Counselor | 1240 Sussex Tpke, Suite 4, Randolph, NJ 07869-2944 | 2007-05-09 |
| 1578562906 | Theresa Sokolowski | Optometrist | 1240 Sussex Tpke, Suite 4, Randolph, NJ 07869-2944 | 2005-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699398149 | Jaclyn Philbin | Dietitian, Registered | 11 Middlebury Boulevard, Suite 9/10, Randolph, NJ 07869 | 2020-05-19 |
| 1548806896 | Daniel Patrick Walsh | Physical Therapist | 390 Route Nj 10, Suite 202, Randolph, NJ 07869 | 2019-11-21 |
| 1518516061 | New Jersey Center for Cognitive and Dialectical Behavior Therapy | Clinic/Center | 1250 Sussex Tpke Ste N, Randolph, NJ 07869 | 2019-09-07 |
| 1396306031 | Marilyn (lynn) G Teale | Specialist/Technologist | 1248 Sussex Tpk, Unit B11, Randolph, NJ 07869 | 2019-06-24 |
| 1497218580 | Christopher Lamorte | Dentist | 390 Nj-10 West, Randolph, NJ 07869 | 2019-04-07 |
| 1982101309 | Essex County Weightloss, LLC | Family Medicine | 81 State Road 10 East, Randolph, NJ 07869 | 2018-04-11 |
| 1699285569 | Raechel Jean Lofaro | Nurse Practitioner | 8 Chestnut Hil Road, Randolph, NJ 07869 | 2017-10-05 |
| 1851800114 | Stephanie Jasinski | Counselor | 19 Harmony Rd, Randolph, NJ 07869 | 2017-09-29 |
| 1144739244 | Dickerson Dental Group, LLC | Dentist | 714 Route 10, Randolph, NJ 07869 | 2017-09-21 |
| 1053831479 | Melissa Morgan | Pediatrics | College Plaza Pediatrics, 765 Route 10 East, Ste 203, Randolph, NJ 07869 | 2017-06-27 |
| Find all providers in zip 07869 | ||||
| Taxonomy Code | 103TP0016X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Prescribing (Medical) |
| Those licensed psychologists who have completed specialized, post-doctoral training in psychopharmacology, passed a national proficiency examination in psychopharmacology, and who are authorized by state statute to prescribe medications, in accordance with their state law and state licensing authority, for the evaluation, diagnosis, management and treatment of mental, nervous, emotional, behavioral, and related disorders. |
| Notes: Source: Louisiana Academy of Medical Psychologists Note: Some states issue licenses under Medical Psychologist. [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578855755 | Saiz, M.d. LLC | Psychologist | 2000 Bergenline Ave, Union City, NJ 07087-3350 | 2011-05-06 |
| 1770721854 | Psychiatric Associates of North Jersey, Inc | Psychologist | 288 Leonard Pl, Paramus, NJ 07652-4517 | 2009-01-28 |
| 1891957379 | Marina Moshkovich | Psychologist | Njsp Third and Cass Street, Trenton, NJ 08625 | 2008-06-26 |
| 1912124892 | Jesse Mintz | Psychologist | 10 Auer Ct Ste D, East Brunswick, NJ 08816-5848 | 2007-04-20 |
| 1962628818 | Peter S Mueller, M.d.,p.a | Psychologist | 601 Ewing St # A, Suite B-3, Princeton, NJ 08540-2757 | 2007-04-18 |
| 1861876419 | Fairlawn Behavioral Associates LLC | Psychologist | 15-01 Broadway, Suite# 10b, Fair Lawn, NJ 07410-6003 | 2015-07-14 |
| 1073904801 | Avicenna Medical Center | Psychologist | 129 Valley Rd, 2nd Floor, Montclair, NJ 07042-2331 | 2015-02-16 |
| 1902297344 | Princeton Psychiatric Centers, Pa | Psychologist | 256 Bunn Dr, Suite 6, Princeton, NJ 08540-2859 | 2015-02-06 |
| 1639514946 | Deborra M. Torres, Msn Pmhnp LLC | Psychologist | 5 N Main St, Suite A, Medford, NJ 08055-2439 | 2013-05-01 |
| 1851677033 | Valeo Behavioral Health, Inc. | Psychologist | 2911 Route 88, Suite E8, Point Pleasant Boro, NJ 08742-2871 | 2011-11-01 |
| Find all providers with the same taxonomy | ||||
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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.