JACOB H JACOBY MEDICAL PC NPI 1316597008

NPI Information

  • NPI: 1316597008
  • Provider Name: JACOB H JACOBY MEDICAL PC
  • Classification: Psychologist - 103TC2200X
  • Specialization: Clinical Child & Adolescent
  • Entity Type: Organization
  • Address: 100 ROUTE 59 STE 103
    SUFFERN, NY
    ZIP 10901
  • Phone: (845) 697-0000

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NPI Details

JACOB H JACOBY MEDICAL PC is a clinical child and adolescent psychologist in Suffern, NY. The provider is a psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents. JACOB H JACOBY MEDICAL PC NPI is 1316597008. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

100 ROUTE 59 STE 103
SUFFERN, NY
ZIP 10901-927
Phone: (845) 697-0000
Fax: (718) 387-6429

The provider's authorized official is Jacob Jacoby .
The authorized official title is Ceo and has the following contact phone number (845) 697-0000.

The enumeration date for this NPI number is 9/16/2019 and was last updated on 9/16/2019.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)No
2103TB0200XPsychologistCognitive & BehavioralNo
3103TF0000XPsychologistFamilyNo
4103TC2200XPsychologistClinical Child & AdolescentYes

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: 11/21/2025

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