Dr Jan Jacobson, PHD is a
Psychologist - Clinical based in East Hampton, Connecticut. Dr Jan Jacobson is licensed to practice in Massachusetts (license number 10121) and her current practice location is
97 Quiet Woods Rd, East Hampton, Connecticut. She can be reached at her office (for appointments etc.) via phone at
(502) 314-4399.
NPI number for Dr Jan Jacobson is 1255549457 and her current mailing address is 97 Quiet Woods Rd, East Hampton, Connecticut. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1255549457.
Healthcare Provider's Profile
Full Name | Dr Jan Jacobson |
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Gender | Female |
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Speciality | Psychologist - Clinical |
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Location | 97 Quiet Woods Rd, East Hampton, Connecticut |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1255549457
- Provider Enumeration Date: 05/19/2007
- Last Update Date: 06/07/2018
Medical Identifiers
Medical identifiers for Dr Jan Jacobson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1255549457 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC0700X | Psychologist - Clinical | 10121 (Massachusetts) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jan Jacobson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Jan Jacobson, PHD 97 Quiet Woods Rd, East Hampton, CT 06424-1811 Ph: (502) 314-4399 | Dr Jan Jacobson, PHD 97 Quiet Woods Rd, East Hampton, CT 06424 Ph: (502) 314-4399 |
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