| Cortexon Inc | |
|
228 Hamilton Ave Ste 329 Palo Alto CA 94301-2583 | |
| (408) 915-8237 | |
| (833) 975-2039 |
| Full Name | Cortexon Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 228 Hamilton Ave Ste 329, Palo Alto, California |
| Authorized Official Name and Position | Matthew Adam Jacobs (PRESIDENT) |
| Authorized Official Contact | 4089158237 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cortexon Inc 3790 El Camino Real # 1225 Palo Alto CA 94306-3314 Ph: (408) 915-8237 | Cortexon Inc 228 Hamilton Ave Ste 329 Palo Alto CA 94301-2583 Ph: (408) 915-8237 |
| NPI Number | 1093388449 |
|---|---|
| Provider Enumeration Date | 07/22/2021 |
| Last Update Date | 08/07/2024 |
| Certification Date | 08/07/2024 |
| Medicare PECOS PAC ID | 9335539733 |
|---|---|
| Medicare Enrollment ID | O20211129000871 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093388449 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Matthew Adam Jacobs |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427580182 PECOS PAC ID: 0244620649 Enrollment ID: I20211129000914 |
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