DR. CHARLES JASON JACOB PH.D.
NPI 1063600195
Psychologist in Havertown, PA

Active since October 15, 2007
33 SYCAMORE RD, HAVERTOWN, PA 19083(412) 596-3870 Get Directions Write a Review

NPPES record last updated: June 1, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Charles Jason Jacob Ph.d. NPPES

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

DR. CHARLES JASON JACOB PH.D. (NPI 1063600195) is an individual psychologist in Havertown, Pennsylvania, licensed in Pennsylvania (PS017732) and active in the NPI registry since October 2007.

NPPES Registry Identity

NPI1063600195
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. CHARLES JASON JACOBCredential: PH.D.
Location Address33 SYCAMORE RDHavertown, PA 19083-4406
Mailing Address8200 Flourtown AveWyndmoor, PA 19038-7976 · (215) 233-3994
Sole ProprietorYes
Enumeration DateOctober 15, 2007
Last NPPES UpdateJune 1, 2023
NPPES CertifiedJune 1, 2023
NPI 1063600195 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in PA · PS017732
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
33 SYCAMORE RD, Havertown, PA 19083

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 Charles Jacob's NPI number?

The NPI number for Charles Jacob is 1063600195. It was assigned to this individual provider in the NPPES registry on October 15, 2007.

Where is Charles Jacob located?

Charles Jacob practices at 33 Sycamore Rd, Havertown, PA 19083. The listed phone number is (412) 596-3870.

What is Charles Jacob's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Charles Jacob was last updated on June 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.