DR. SUSANNAH GILLE JACOBI PH.D.
NPI 1083837538
Psychologist - Clinical in New York, NY
About Dr. Susannah Gille Jacobi Ph.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SUSANNAH GILLE JACOBI PH.D. (NPI 1083837538) is an individual clinical provider in New York, New York, licensed in New York (015752) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2002).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Susannah Gille Jacobi Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10037 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
NEW YORK, NY 10037
NEW YORK, NY 10037
NEW YORK, NY 10037
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 Susannah Jacobi's NPI number?
The NPI number for Susannah Jacobi is 1083837538. It was assigned to this individual provider in the NPPES registry on April 11, 2007.
Where is Susannah Jacobi located?
Susannah Jacobi practices at 506 Malcolm X Blvd, New York, NY 10037. The listed phone number is (212) 939-1000.
What is Susannah Jacobi's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Susannah Jacobi enrolled in Medicare?
Yes. Susannah Jacobi is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Susannah Jacobi accept?
Health plans from Providence Health Plan list Susannah Jacobi as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Susannah Jacobi was last updated on February 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Dr. Susannah Gille Jacobi, PH.D. · NPI 1083837538
Clinical provider in New York, New York. Individual provider, active in the CMS NPPES registry since April 11, 2007.
## Identity
- **NPI:** 1083837538 (Entity type: Individual)
- **Enumerated:** April 11, 2007
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** 015752 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 506 MALCOLM X BLVD, New York, NY 10037-1802
- **Phone:** (212) 939-1000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 2002
## Record status
- **NPPES last updated:** February 27, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1083837538) · Data from the CMS NPPES public registry.