Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. JACOB MICHAEL KAYLE LISTER MD, PHD
NPI 1063155588
Psychiatry & Neurology - Child & Adolescent Psychiatry in New Haven, CT

Active since April 14, 2022PECOS Enrolled
230 S FRONTAGE RD, NEW HAVEN, CT 06519(203) 737-7129 Get Directions Write a Review

NPPES record last updated: August 24, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Aug 24, 2026, Apr 14, 2022 (2 updates tracked since 2022).

About Dr. Jacob Michael Kayle Lister Md, Phd NPPES

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

DR. JACOB MICHAEL KAYLE LISTER MD, PHD (NPI 1063155588) is an individual child & adolescent psychiatry provider in New Haven, Connecticut, licensed in Connecticut (78962) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063155588
Entity TypeIndividualMale
Primary Taxonomy2084P0804X
Provider Legal NameDR. JACOB MICHAEL KAYLE LISTERCredential: MD, PHD
Location Address230 S FRONTAGE RDNew Haven, CT 06519-1124
Mailing Address230 S Frontage RdNew Haven, CT 06519-1124 · (203) 737-7129
Sole ProprietorYes
Enumeration DateApril 14, 2022
Last NPPES UpdateAugust 24, 20262 updates tracked since enumeration
NPPES CertifiedAugust 24, 2026
NPI 1063155588 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License Licensed in CT · 78962
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
230 S FRONTAGE RD, New Haven, CT 06519

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Jacob Michael Kayle Lister Md, Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Psychologist (Clinical Child & Adolescent)
230 S FRONTAGE RD
NEW HAVEN, CT 06519
Psychologist (Clinical Child & Adolescent)
230 S FRONTAGE RD
NEW HAVEN, CT 06519
Psychiatry & Neurology (Child & Adolescent Psychiatry)
230 S FRONTAGE RD
NEW HAVEN, CT 06519
Psychiatry & Neurology (Psychiatry)
230 S FRONTAGE RD, YALE CHILD STUDY CENTER
NEW HAVEN, CT 06519
Psychiatry & Neurology (Child & Adolescent Psychiatry)
230 S FRONTAGE RD
NEW HAVEN, CT 06519
Psychologist (Clinical Child & Adolescent)
230 S FRONTAGE RD
NEW HAVEN, CT 06519
Psychologist (Clinical Child & Adolescent)
230 S FRONTAGE RD
NEW HAVEN, CT 06519
Psychiatry & Neurology (Child & Adolescent Psychiatry)
230 S FRONTAGE RD
NEW HAVEN, CT 06519

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 Jacob Lister's NPI number?

The NPI number for Jacob Lister is 1063155588. It was assigned to this individual provider in the NPPES registry on April 14, 2022.

Where is Jacob Lister located?

Jacob Lister practices at 230 S Frontage Rd, New Haven, CT 06519. The listed phone number is (203) 737-7129.

What is Jacob Lister's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Jacob Lister enrolled in Medicare?

Yes. Jacob Lister is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jacob Lister was last updated on August 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 29 days 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.