DR. CAROLYN FRANCES JACOBS PSY.D.
NPI 1093750655
Psychologist in Bonita, CA

Active since June 18, 2006PECOS EnrolledAccepts Medicare Assignment
4364 BONITA RD, BONITA, CA 91902(619) 254-2343(619) 324-3879 Get Directions Write a Review

NPPES record last updated: September 5, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Carolyn Frances Jacobs Psy.d. NPPES

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

DR. CAROLYN FRANCES JACOBS PSY.D. (NPI 1093750655) is an individual psychologist in Bonita, California, licensed in California (PSY15774) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1992).

NPPES Registry Identity

NPI1093750655
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. CAROLYN FRANCES JACOBSCredential: PSY.D.
Location Address4364 BONITA RDBonita, CA 91902-1421
Mailing Address4364 Bonita RdBonita, CA 91902-1421 · (619) 254-2343 · Fax (619) 324-3879
Fax(619) 324-3879
Sole ProprietorYes
Medical School CMSOtherGraduated 1992
Enumeration DateJune 18, 2006
Last NPPES UpdateSeptember 5, 2024
NPPES CertifiedSeptember 4, 2024
NPI 1093750655 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 CA · PSY15774
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.
4364 BONITA RD, Bonita, CA 91902

Other Identifiers 1

OtherCP938ACA · Medicare Ptan

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. Carolyn Frances Jacobs Psy.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.

PECOS PAC ID3870597404
PECOS Enrollment IDI20060912000658
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.

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 Carolyn Jacobs's NPI number?

The NPI number for Carolyn Jacobs is 1093750655. It was assigned to this individual provider in the NPPES registry on June 18, 2006.

Where is Carolyn Jacobs located?

Carolyn Jacobs practices at 4364 Bonita Rd, Bonita, CA 91902. The listed phone number is (619) 254-2343.

What is Carolyn Jacobs's specialty?

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

Is Carolyn Jacobs enrolled in Medicare?

Yes. Carolyn Jacobs 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.

When was this NPI record last updated?

The NPPES record for Carolyn Jacobs was last updated on September 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.