Mr Jacob B Barack, PSYD - Psychologist in Joint Base Lewis Mcchord, WA

Mr Jacob B Barack, PSYD is a Psychologist - Clinical based in Joint Base Lewis Mcchord, Washington. Mr Jacob B Barack is licensed to practice in Virginia (license number 0810007923) and his current practice location is 9920a E. Johnson St., Department Of Behavioral Medicine- Mche-dbm, Joint Base Lewis Mcchord, Washington. He can be reached at his office (for appointments etc.) via phone at (253) 968-4851.

NPI number for Mr Jacob B Barack is 1063028306 and his current mailing address is 3551 Roger Brooke Drive, Department Of Behavioral Medicine- Mche-dbm, Fort Sam Houston, Texas. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1063028306.

Contact Information

Mr Jacob B Barack, PSYD
9920a E. Johnson St., Department Of Behavioral Medicine- Mche-dbm,
Joint Base Lewis Mcchord, WA 98433
(253) 968-4851
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMr Jacob B Barack
GenderMale
SpecialityPsychologist - Clinical
Location9920a E. Johnson St., Joint Base Lewis Mcchord, Washington
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1063028306
  • Provider Enumeration Date: 09/22/2020
  • Last Update Date: 08/02/2024

Medical Identifiers

Medical identifiers for Mr Jacob B Barack such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063028306NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 0810007923 (Virginia)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. Mr Jacob B Barack 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 AddressPractice Location Address
Mr Jacob B Barack, PSYD
3551 Roger Brooke Drive, Department Of Behavioral Medicine- Mche-dbm,
Fort Sam Houston, TX 78234-4504

Ph: () -
Mr Jacob B Barack, PSYD
9920a E. Johnson St., Department Of Behavioral Medicine- Mche-dbm,
Joint Base Lewis Mcchord, WA 98433

Ph: (253) 968-4851

Reviews and Comments


Psychologist in Joint Base Lewis Mcchord, WA

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Medicare: Not Enrolled in Medicare
Practice Location: 9933 W Hayes Street Madigan Anx, Joint Base Lewis Mcchord, WA 98431
Phone: 253-320-5096    

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