DR. RICK JACOBS (NPI# 1740272715) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740272715 |
| Entity Type | Individual |
| Full Name | DR. RICK JACOBS |
| Credential | PH D |
| Practice Address |
33 N Central Ave Medford OR 97501-5939 |
| Mailing Address |
132 Manzanita St Central Point OR 97502-2049 |
| Practice Telephone | 5417769045 |
| Mailing Telephone | 5416645151 |
| Mailing Fax Number | 5416645155 |
| Enumeration Date | 2005-08-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | PA5019 | OR | Behavioral Health & Social Service Providers |
| Street Address |
33 N CENTRAL AVE |
| City | MEDFORD |
| State | OR |
| Zip Code | 97501-5939 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083091540 | Derrick James Lanning | Peer Specialist | 33 N Central Ave, 419, Medford, OR 97501-5900 | 2015-05-04 |
| 1568864429 | Carol Law | Counselor | 33 N Central Ave, Suite 207, Medford, OR 97501-5900 | 2014-09-23 |
| 1215278122 | Jeffrey S Danzik | Social Worker | 33 N Central Ave, 400, Medford, OR 97501-5900 | 2013-03-04 |
| 1245409788 | Jerem St John Egan | Massage Therapist | 33 N Central Ave, Suite 410, Medford, OR 97501-5900 | 2008-02-28 |
| 1417166455 | Shirley Laraine Johnson | Social Worker | 33 N Central Ave, Suite 320, Medford, OR 97501-5900 | 2007-05-22 |
| 1326177833 | Rita Heinz | Social Worker | 33 N Central Ave, Medford, OR 97501-5900 | 2007-03-02 |
| 1568568707 | Mb Healthcare Associates Inc | Specialist | 33 N Central Ave, Suite 425, Medford, OR 97501-5900 | 2006-09-15 |
| 1447286927 | Jennifer J. Hibbs | Social Worker | 33 N Central Ave, Ste. #416, Medford, OR 97501-5900 | 2006-06-25 |
| 1417931395 | Marguerite Jean Smith | Nurse Practitioner | 33 N Central Ave, Suite 425, Medford, OR 97501-5900 | 2005-12-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366069494 | Brian Snapp | Counselor | 1191 Hazel St, Medford, OR 97501 | 2020-07-06 |
| 1477174761 | Corey Renfree | Counselor | 1191 Hazel Street, Medford, OR 97501 | 2020-04-28 |
| 1669012928 | One of A Kind Therapy LLC | Social Worker | 916 West 10th St #205, Medford, OR 97501 | 2020-01-14 |
| 1265993620 | Star Dialysis LLC | Clinic/Center | 50 Rossanley Dr, Medford, OR 97501 | 2019-03-28 |
| 1962972463 | Karen Elise Roertgen | Counselor | 328 So. Central Ave., Suite 204, Medford, OR 97501 | 2018-11-28 |
| 1316458813 | Rick's Medical Supply, Inc | Durable Medical Equipment & Medical Supplies | 562 Parsons Drive, Suite 114, Medford, OR 97501 | 2017-10-24 |
| 1750807111 | La Clinica Del Valle Family Health Care Center Inc. | Clinic/Center | 821 N Riverside Ave, Medford, OR 97501 | 2017-08-17 |
| 1992229009 | Cassandra Schultz | Massage Therapist | 824 East Jackson, Suite A, Medford, OR 97501 | 2017-07-31 |
| 1972962355 | Robin Clevenger | Peer Specialist | 301 S Ivy St, Medford, OR 97501 | 2016-02-15 |
| 1154706984 | Debbie Diane Orr | Behavioral Analyst | 1024 West 9th Street, Medford, OR 97501 | 2015-07-22 |
| Find all providers in zip 97501 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821601568 | Dr. Chelsea Levy Licensed Psychologist LLC | Psychologist | 203 Spring St, Medford, MA 02155-2814 | 2020-08-24 |
| 1225521792 | Susan Baker | Psychologist | 39 Stanley Ave, Medford, MA 02155-5617 | 2018-06-11 |
| 1942799556 | Linda Louise Faldetta | Psychologist | 2 Gleason St, Medford, MA 02155-2223 | 2018-05-09 |
| 1043717481 | Catherine Barba | Psychologist | 84 High St Ste 2a, Medford, MA 02155-3844 | 2018-04-11 |
| 1093235459 | Clarity Behavioral Medicine LLC | Psychologist | 10 Crater Lake Ave Ste 18, Medford, OR 97504-7445 | 2017-06-26 |
| 1447485552 | Lani C. Fujitsubo | Psychologist | 229 Eric Ct, Medford, OR 97504-9053 | 2009-05-18 |
| 1598945149 | Harry Michael Shallcross | Psychologist | 41 Tee Pee Ct, Medford, NJ 08055-9763 | 2007-11-13 |
| 1831308642 | Ritu Sharma | Psychologist | 120 Curtis St, Tufts University Cmhs, Medford, MA 02155-5819 | 2007-05-21 |
| 1821118605 | Robin Seeley | Psychologist | 815 E Jackson St, Medford, OR 97504-6713 | 2007-03-29 |
| 1427178227 | Hutter & Seeley Psychological Services, P.C. | Psychologist | 711 Medford Center, #168, Medford, OR 97504 | 2007-03-29 |
| Find all providers in MEDFORD | ||||
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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.