MR. DONALD EUGENE JOSEPH JACOBSON JR. (NPI# 1952916538) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952916538 |
| Entity Type | Individual |
| Full Name | MR. DONALD EUGENE JOSEPH JACOBSON JR. |
| Practice Address |
17505 N 79th Ave Ste 203 Glendale AZ 85308-8726 |
| Mailing Address |
264 S Doran Apt 1 Mesa AZ 85204-2237 |
| Practice Telephone | 8445481212 |
| Practice Fax Number | 8445481212 |
| Mailing Telephone | 8445481212 |
| Mailing Fax Number | 8445481212 |
| Enumeration Date | 2020-09-10 |
| Last Update Date | 2020-09-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers | ||
| N | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 19609 S Mcqueen Rd, Chandler, AZ 852861903 | 8445481212 | 8445481212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912981796 | Donald M Jacobson | Psychiatry & Neurology | 3701 Durand Ave, Suite 325, Racine, WI 53405-4458 | 2005-12-05 |
| Street Address |
17505 N 79TH AVE STE 203 |
| City | GLENDALE |
| State | AZ |
| Zip Code | 85308-8726 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508227687 | Lydia Christine Veratti | Nurse Practitioner | 17505 N 79th Ave Ste 203, Glendale, AZ 85308-8726 | 2016-03-16 |
| 1295341808 | Joint Healing Operations | Case Manager/Care Coordinator | 17505 N 79th Ave Ste 203, Glendale, AZ 85308-8726 | 2020-09-18 |
| 1932731395 | Elizabeth Ann Bryant | Nurse Practitioner | 17505 N 79th Ave Ste 203, Glendale, AZ 85308-8726 | 2020-02-04 |
| 1831685320 | Healing Service Agency LLC | Clinic/Center | 17505 N 79th Ave Ste 203, Glendale, AZ 85308-8726 | 2018-07-08 |
| 1538689575 | Brent Paul Marshall | Social Worker | 17505 N 79th Ave Ste 203, Glendale, AZ 85308-8726 | 2017-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972102572 | Inspire Wellness and Pelvic Health | Clinic/Center | 5940 W Union Hills Dr Ste D280, Glendale, AZ 85308 | 2020-10-23 |
| 1669081709 | Michelle Yoakim | Student in an Organized Health Care Education/Training Program | 19555 N 59th Avenuue, Glendale, AZ 85308 | 2020-07-24 |
| 1033742291 | Kaitlyn Marie Shannon | Dietitian, Registered | 20325 North 51st Avenue, Building 9, Suite 166, Glendale, AZ 85308 | 2020-02-17 |
| 1295377687 | Serenity Preserved Counseling Pllc | Counselor | 21448 N. 75th Avenue Ste G, Glendale, AZ 85308 | 2019-10-17 |
| 1013567023 | Caitlyn Heredia | Student in an Organized Health Care Education/Training Program | 18330 N 79th Avenue, Apartment 1070, Glendale, AZ 85308 | 2019-09-12 |
| 1770141061 | Sydney Dangelo | Student in an Organized Health Care Education/Training Program | 7454 W Denaro Dr, Glendale, AZ 85308 | 2019-05-31 |
| 1023585742 | Center for Couples Therapy, Pllc | Counselor | 18205 N 51st Ave, Ste 113, Glendale, AZ 85308 | 2018-10-31 |
| 1831678341 | Ayat Mahdi Obeidi | Dentist | 19420 N 59th Ave Ste D400, Glendale, AZ 85308 | 2018-08-07 |
| 1720580038 | Lifeline Professional Counseling Services, Inc | Clinic/Center | 17235 N 75th Ave Suite F-100, Glendale, AZ 85308 | 2018-03-02 |
| 1003318585 | Danna Mavis Constance Moisii | Physician Assistant | 18301 N. 79th Ave #g190, Glendale, AZ 85308 | 2018-03-01 |
| Find all providers in zip 85308 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790390912 | Levon J Howard | Case Manager/Care Coordinator | 5325 N 61st Ave, Glendale, AZ 85301-6613 | 2020-09-14 |
| 1942811690 | Angelina Sheree Jones | Case Manager/Care Coordinator | 5248 N 26th St, Glendale, WI 53209-4927 | 2020-08-14 |
| 1336634880 | Jarvis Espinosa | Case Manager/Care Coordinator | 7109 67th Pl Apt 1l, Glendale, NY 11385-7029 | 2018-06-27 |
| 1679067193 | Meghrik Yenoki | Case Manager/Care Coordinator | 1224 E Wilson Ave, Glendale, CA 91206-4629 | 2018-06-18 |
| 1841782356 | Liana Hariri | Case Manager/Care Coordinator | 1540 E. Colorodo St., Glendale, CA 91205 | 2018-05-31 |
| 1174038897 | Mariele L Lora | Case Manager/Care Coordinator | 6226 Myrtle Ave Apt 2f, Glendale, NY 11385-6286 | 2017-12-04 |
| 1093227712 | Goarik Susan Akopyan | Case Manager/Care Coordinator | 237 N Central Ave, Glendale, Ca 91203, Glendale, CA 91203 | 2017-11-03 |
| 1396284980 | Ingrid Pamela Vazquez Solis | Case Manager/Care Coordinator | 1540 E. Colorado Street, Glendale, CA 91205 | 2017-02-16 |
| 1114465796 | Elizabeth Pedroza Estrada | Case Manager/Care Coordinator | 237 North Glendale, Glendale, CA 91203 | 2017-02-03 |
| 1205385150 | Marla Cooper | Case Manager/Care Coordinator | 500 W Silver Spring Dr Ste K200, Glendale, WI 53217-5052 | 2016-10-03 |
| Find all providers in GLENDALE | ||||
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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.