DR. MARILYN JACOVSKY


Address: 480 Alta Rd, Richard J. Donovan Correctional Facility, San Diego, CA 92179-0001
Phone: 6196616500

DR. MARILYN JACOVSKY (NPI# 1710223235) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1710223235
Entity Type Individual
Full Name DR. MARILYN JACOVSKY
Credential PHD
Practice Address 480 Alta Rd
Richard J. Donovan Correctional Facility
San Diego
CA 92179-0001
Mailing Address 311 4th Ave
Suite 401
San Diego
CA 92101-6967
Practice Telephone 6196616500
Practice Fax Number 6196616357
Mailing Telephone 6198880203
Enumeration Date 2013-01-02
Last Update Date 2013-01-02
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist PSY18498 CA Behavioral Health & Social Service Providers

Office Location

Street Address 480 ALTA RD
RICHARD J. DONOVAN CORRECTIONAL FACILITY
City SAN DIEGO
State CA
Zip Code 92179-0001

Providers in the same location

NPI Name Taxonomy Address Enumeration
1760452874 Ryan Anthony Barenchi Family Medicine 480 Alta Rd, San Diego, CA 92179-0001 2006-01-23
1700418878 Nadia Hortencia Camarillo Social Worker 480 Alta Rd, San Diego, CA 92179-0001 2020-02-06
1083265367 Essence Dawson Social Worker 480 Alta Rd, San Diego, CA 92179-0001 2019-09-27
1689184905 Rushton Arthur Backer Psychologist 480 Alta Rd, San Diego, CA 92179-0001 2017-10-02
1285164269 Colleen Marie Strahan Pharmacist 480 Alta Rd, San Diego, CA 92179-0001 2017-06-13
1356892491 Lacey Levitt Psychologist 480 Alta Rd, R.j. Donovan Correctional Facility, San Diego, CA 92179-0001 2016-10-24
1609228436 Heather Mcgee Psychologist 480 Alta Rd, San Diego, CA 92179-0001 2016-07-05
1386095453 Shannon Moore Psychologist 480 Alta Rd, San Diego, CA 92179-0001 2016-06-29
1033565049 Joneka Clayton Social Worker 480 Alta Rd, San Diego, CA 92179-0001 2016-05-09
1740642560 Jennifer Zehe Student in an Organized Health Care Education/Training Program 480 Alta Rd, San Diego, CA 92179-0001 2016-03-22
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1275169005 Corrections and Rehabilitation Pharmacy 481 Alta Road, Facility E, Facility Support Building, Room A161, San Diego, CA 92179 2020-03-12
1508104928 Paul Hippaka Social Worker 408 Alta Road, San Diego, CA 92179 2013-01-18
1205462769 Corrections and Rehabilitation Pharmacy 480 Alta Road, Pharmacy Building Room 122, San Diego, CA 92179 2020-03-17
1104343946 Ruth Ann Villasenor Social Worker 480 Alta Road, San Diego, CA 92179 2017-08-23
1063657385 Charles Fielding Marsh Psychiatry & Neurology 480 Alta Road, San Diego, CA 92179 2008-12-16
1932374238 John Charles Preston IIi Psychiatry & Neurology 480 Alta Road, San Diego, CA 92179 2008-04-28
1730351370 Malvern C Holland Jr. Psychologist 480 Alta Road, R.j. Donovan Correctional Facility, San Diego, CA 92179-0001 2008-03-24
1902171614 Alan Greg Springer Pharmacist 480 Alta Road, San Diego, CA 92179-0001 2012-03-13

Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Notes: Source: American Psychological Association [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1538789573 Shayla Robertson Psychologist 2602 Crosshaven Ln, San Diego, CA 92139-2952 2020-04-20
1467083949 Corrine Joslyn Hufford Psychologist 6549 Jaffe Ct Apt 10, San Diego, CA 92119-2150 2020-02-03
1225678840 Nicholas Buhr Psychologist 140 Sylvester Road Bldg 500, Navy Drug Alcohol Counselor School, San Diego, CA 92106-3521 2020-01-11
1215572003 Alpha Theta Center, Inc Psychologist 6540 Lusk Blvd Ste C175, San Diego, CA 92121-2768 2019-11-15
1740825686 Jill Allison Cooley Psychologist 8543 Old Stonefield Chase, San Diego, CA 92127-6133 2019-11-14
1093350456 Annie Lin Psychologist 10531 4s Commons Dr # 530, San Diego, CA 92127-3517 2019-11-08
1164066072 Elizabeth Kristin Stanton Psychologist 3910 Chapman St Ste I, San Diego, CA 92110-5644 2019-11-04
1154964567 Rodger Stacy Questin, Psychologist P.C. Psychologist 440 Upas St Apt 402, San Diego, CA 92103 2019-10-18
1225505480 Margaret Marie Williams Psychologist 4010 Sorrento Valley Blvd Ste 400, San Diego, CA 92121-1433 2018-10-25
1841779154 Carla Payne, Psychology, Inc. Psychologist 2525 Camino Del Rio S. #245, San Diego, CA 92108 2018-08-08
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Competitor

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City SAN DIEGO
Zip Code 92179

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Dataset Information

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.

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