| Susannah Jacobi, Ph.d., P.C. | |
|
144 W 86th St Ste 1a New York NY 10024-4028 | |
| (646) 290-8404 | |
| (888) 290-2182 |
| Full Name | Susannah Jacobi, Ph.d., P.C. |
|---|---|
| Speciality | Psychologist |
| Location | 144 W 86th St Ste 1a, New York, New York |
| Authorized Official Name and Position | Susannah Gille Jacobi (PRESIDENT) |
| Authorized Official Contact | 6462908404 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Susannah Jacobi, Ph.d., P.C. 144 W 86th St Ste 1a New York NY 10024-4028 Ph: (646) 290-8404 | Susannah Jacobi, Ph.d., P.C. 144 W 86th St Ste 1a New York NY 10024-4028 Ph: (646) 290-8404 |
| NPI Number | 1215111661 |
|---|---|
| Provider Enumeration Date | 12/20/2007 |
| Last Update Date | 08/25/2026 |
| Certification Date | 08/25/2026 |
| Medicare PECOS PAC ID | 3870673130 |
|---|---|
| Medicare Enrollment ID | O20071228000147 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215111661 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 015752 (New York) | Primary |
| Provider Name | Susannah G Jacobi |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1083837538 PECOS PAC ID: 2062592314 Enrollment ID: I20071228000135 |
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