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DR. JOANNA JACOBUS PHD NPI 1629329164


NPI Information

NPI: 1629329164
Provider Name: DR. JOANNA JACOBUS, PHD
Classification: Psychologist - 103TC0700X
Entity Type: Individual

Specialization: Clinical

Address:
3350 LA JOLLA VILLAGE DR # MC151B
SAN DIEGO, CA
ZIP 92161
Phone: (858) 552-8585
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DR. Joanna Jacobus, PHD is a clinical psychologist in San Diego, CA. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. DR. Joanna Jacobus, PHD NPI is 1629329164. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3350 LA JOLLA VILLAGE DR # MC151B
SAN DIEGO, CA
ZIP 92161-002
Phone: (858) 552-8585

The enumeration date for this NPI number is 9/24/2012 and was last updated on 9/24/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103G00000XClinical Neuropsychologist25213CALIFORNIANo
2103TC0700XPsychologistClinical25213CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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