DR. JACOB WEBBERT DO NPI 1679032460

NPI Information

  • NPI: 1679032460
  • Provider Name: DR. JACOB WEBBERT, DO
  • Classification: Psychiatry & Neurology - 2084A0401X
  • Specialization: Addiction Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4988 STATE HIGHWAY 30
    AMSTERDAM, NY
    ZIP 12010
  • Phone: (518) 842-1900

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NPI Details

DR. Jacob Webbert, DO is an addiction medicine psychiatry neurology in Amsterdam, NY with 7 years of experience. The provider is a doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine DR. Jacob Webbert, DO NPI is 1679032460. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: LAKE ERIE COL OF OSTEO MED AT SETON HILL UNIV
Graduation Year:2019

The provider's business location address is:

4988 STATE HIGHWAY 30
AMSTERDAM, NY
ZIP 12010-520
Phone: (518) 842-1900

The NPI 1679032460 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/19/2019 and was last updated on 8/1/2024.

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
1390200000XStudent in an Organized Health Care Education/Training ProgramR4153NEW HAMPSHIRENo
22084A0401XPsychiatry & NeurologyAddiction Medicine316670NEW YORKYes

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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