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DR. LILLY GLANCY JACOBSON PH.D.
NPI 1053794818
Psychologist - Clinical in Detroit, MI

Active since June 29, 2015
3901 BEAUBIEN ST, DETROIT, MI 48201(313) 832-8480 Get Directions Write a Review

NPPES record last updated: June 29, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Lilly Glancy Jacobson Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LILLY GLANCY JACOBSON PH.D. (NPI 1053794818) is an individual clinical provider in Detroit, Michigan, licensed in Michigan (6301016104) and active in the NPI registry since June 2015.

NPPES Registry Identity

NPI1053794818
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. LILLY GLANCY JACOBSONCredential: PH.D.
Location Address3901 BEAUBIEN STDetroit, MI 48201-2119
Mailing Address125 Martell DrBloomfield Hills, MI 48304-3447 · (248) 835-4749
Phone(313) 832-8480
Sole ProprietorNo
Enumeration DateJune 29, 2015
✔ NPI 1053794818 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in MI · 6301016104
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
3901 BEAUBIEN ST, Detroit, MI 48201
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KAROLINA MAKSIMOWSKI
Pediatrics (Pediatric Emergency Medicine)
3901 BEAUBIEN ST
DETROIT, MI 48201
Wayne County (313) 745-5260
NUTRENA TATE CNP
Nurse Practitioner (Pediatrics)
3901 BEAUBIEN ST
DETROIT, MI 48201
Wayne County (313) 745-5437
DR. RUPA THACKER M.D
Pediatrics
3901 BEAUBIEN ST
DETROIT, MI 48201
Wayne County (313) 745-5533
SYBRENA EVANS
Physician Assistant (Surgical)
3901 BEAUBIEN ST
DETROIT, MI 48201
Wayne County (313) 833-4490
JOSHUA KIM DO
Pediatrics
3901 BEAUBIEN ST
DETROIT, MI 48201
Wayne County (313) 745-5870
HANNAH L MORELLO MSN, RN
Nurse Practitioner (Pediatrics)
3901 BEAUBIEN ST
DETROIT, MI 48201
Wayne County (543) 731-3745
ERIC MARC ESHMAN PHARM.D.
Pharmacist
3901 BEAUBIEN ST
DETROIT, MI 48201
Wayne County (313) 966-0414
KELLY HOLZHAUSEN
Pharmacist
3901 BEAUBIEN ST
DETROIT, MI 48201
Wayne County (734) 552-5323

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lilly Jacobson's NPI number?

The NPI number for Lilly Jacobson is 1053794818. It was assigned to this individual provider in the NPPES registry on June 29, 2015.

Where is Lilly Jacobson located?

Lilly Jacobson practices at 3901 Beaubien St, Detroit, MI 48201. The listed phone number is (313) 832-8480.

What is Lilly Jacobson's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Lilly Jacobson was last updated on June 29, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.