Mrs Lauren Betty Jacob, MA, TLLP - Psychologist in Berkley, MI

Mrs Lauren Betty Jacob, MA, TLLP is a Psychologist - Clinical based in Berkley, Michigan. Mrs Lauren Betty Jacob is licensed to practice in Michigan (license number 6301015300) and her current practice location is 2351 W. 12 Mile Rd., Berkley, Michigan. She can be reached at her office (for appointments etc.) via phone at (248) 544-4004.

NPI number for Mrs Lauren Betty Jacob is 1518300847 and her current mailing address is 2351 W. 12 Mile Rd., Berkley, Michigan. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1518300847.

Contact Information

Mrs Lauren Betty Jacob, MA, TLLP
2351 W. 12 Mile Rd.,
Berkley, MI 48072-1826
(248) 544-4004
(248) 544-4113

Map and Direction




Healthcare Provider's Profile

Full NameMrs Lauren Betty Jacob
GenderFemale
SpecialityPsychologist - Clinical
Location2351 W. 12 Mile Rd., Berkley, Michigan
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1518300847
  • Provider Enumeration Date: 04/17/2013
  • Last Update Date: 06/01/2016

Medical Identifiers

Medical identifiers for Mrs Lauren Betty Jacob such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1518300847NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical L2310588 (Michigan)Secondary
103TC0700XPsychologist - Clinical 6301015300 (Michigan)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. Mrs Lauren Betty Jacob 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
Mrs Lauren Betty Jacob, MA, TLLP
2351 W. 12 Mile Rd.,
Berkley, MI 48072-1826

Ph: (248) 544-4004
Mrs Lauren Betty Jacob, MA, TLLP
2351 W. 12 Mile Rd.,
Berkley, MI 48072-1826

Ph: (248) 544-4004

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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