MARY CASEY JACOB PH.D.
NPI 1083612246
Psychologist in Farmington, CT

Active since July 12, 2005
263 FARMINGTON AVE, FARMINGTON, CT 06030(860) 679-4550(860) 679-1845 Get Directions Write a Review

NPPES record last updated: February 19, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mary Casey Jacob Ph.d. NPPES

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

MARY CASEY JACOB PH.D. (NPI 1083612246) is an individual psychologist in Farmington, Connecticut, licensed in Connecticut (001621) and active in the NPI registry since July 2005.

NPPES Registry Identity

NPI1083612246
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameMARY CASEY JACOBCredential: PH.D.
Location Address263 FARMINGTON AVEFarmington, CT 06030-0001
Mailing Address263 Farmington Ave, Provider EnrollmentFarmington, CT 06030-2212 · (860) 679-7503 · Fax (860) 679-1610
Fax(860) 679-1845
Sole ProprietorNo
Enumeration DateJuly 12, 2005
Last NPPES UpdateFebruary 19, 2014
NPI 1083612246 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 CT · 001621
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.
263 FARMINGTON AVE, Farmington, CT 06030

Other Identifiers 2

Medicare PIN620000313CT
Medicaid1083612246CT

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.

Pathology (Anatomic Pathology & Clinical Pathology)
263 FARMINGTON AVE, LABORATORY HBP GROUP
FARMINGTON, CT 06030
Neurological Surgery
263 FARMINGTON AVE
FARMINGTON, CT 06030
Dentist (Endodontics)
263 FARMINGTON AVE
FARMINGTON, CT 06030
Internal Medicine (Endocrinology, Diabetes & Metabolism)
263 FARMINGTON AVE
FARMINGTON, CT 06030
Surgery
263 FARMINGTON AVE
FARMINGTON, CT 06030
Psychiatry & Neurology (Psychiatry)
263 FARMINGTON AVE
FARMINGTON, CT 06030
Internal Medicine (Gastroenterology)
263 FARMINGTON AVE
FARMINGTON, CT 06030
Student in an Organized Health Care Education/Training Program
263 FARMINGTON AVE
FARMINGTON, CT 06030

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 Mary Jacob's NPI number?

The NPI number for Mary Jacob is 1083612246. It was assigned to this individual provider in the NPPES registry on July 12, 2005.

Where is Mary Jacob located?

Mary Jacob practices at 263 Farmington Ave, Farmington, CT 06030. The listed phone number is (860) 679-4550.

What is Mary 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 Mary Jacob was last updated on February 19, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.