Samantha Jacobson, PSYD - in Prescott Valley, AZ

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Samantha Jacobson, PSYD is a Clinical Neuropsychologist based in Prescott Valley, Arizona. Samantha Jacobson is licensed to practice in Arizona (license number 005707) and her current practice location is 8652 E Eastridge Rd Ste 201, Prescott Valley, Arizona. She can be reached at her office (for appointments etc.) via phone at (928) 830-2410.

NPI number for Samantha Jacobson is 1912849860 and her current mailing address is 3256 W Huntington Dr, Phoenix, Arizona. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1912849860.

Contact Information

Samantha Jacobson, PSYD
8652 E Eastridge Rd Ste 201,
Prescott Valley, AZ 86314-9464
(928) 830-2410
Not Available

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Healthcare Provider's Profile

Full NameSamantha Jacobson
GenderFemale
SpecialityClinical Neuropsychologist
Location8652 E Eastridge Rd Ste 201, Prescott Valley, Arizona
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1912849860
  • Provider Enumeration Date: 04/08/2026
  • Last Update Date: 04/08/2026

Medical Identifiers

Medical identifiers for Samantha Jacobson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912849860NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TB0200XPsychologist - Cognitive & Behavioral 005707 (Arizona)Secondary
103TC0700XPsychologist - Clinical 005507 (Arizona)Secondary
103G00000XClinical Neuropsychologist 005707 (Arizona)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. Samantha 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 AddressPractice Location Address
Samantha Jacobson, PSYD
3256 W Huntington Dr,
Phoenix, AZ 85041-4339

Ph: () -		Samantha Jacobson, PSYD
8652 E Eastridge Rd Ste 201,
Prescott Valley, AZ 86314-9464

Ph: (928) 830-2410

Reviews and Comments



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