SHAWNA JACOB PHD
NPI 1104485929
Clinical Neuropsychologist in Fairfield, OH

Q: What is Shawna Jacob's NPI number?

The NPI number for Shawna Jacob is 1104485929. It was assigned to this individual provider in the NPPES registry on June 6, 2019.

Q: What is Shawna Jacob's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Q: When was this NPI record last updated?

The NPPES record for Shawna Jacob was last updated on July 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since June 06, 2019PECOS EnrolledAccepts Medicare Assignment

2812 MACK RD, FAIRFIELD, OH 45014(513) 813-5327 Get Directions Write a Review

NPPES record last updated: July 29, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 6, 2023, Jan 18, 2023, Jun 6, 2019 (3 updates tracked since 2019).

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About Shawna Jacob Phd NPPES

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

SHAWNA JACOB PHD (NPI 1104485929) is an individual clinical neuropsychologist in Fairfield, Ohio, licensed in Ohio (P.07800) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of University Of Cincinnati College Of Medicine (2016).

NPPES Registry Identity

NPI1104485929

Entity TypeIndividualFemale

Primary Taxonomy103G00000X

Provider Legal NameSHAWNA JACOBCredential: PHD

Location Address2812 MACK RDFairfield, OH 45014-5130

Mailing Address2812 Mack RdFairfield, OH 45014-5130 · (513) 813-5327

Phone(513) 813-5327

Sole ProprietorNo

Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 2016

Enumeration DateJune 6, 2019

Last NPPES UpdateJuly 29, 20253 updates tracked since enumeration

NPPES CertifiedJuly 29, 2025

✔ NPI 1104485929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers

Taxonomy Code103G00000X

License✔ Licensed in OH · P.07800

Definition

A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

2812 MACK RD, Fairfield, OH 45014

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Secondary Practice Locations 2

Location 14805 Montgomery Rd Ste 210Cincinnati, OH 45212-2280 · Phone (513) 791-8080

Location 23113 Bellevue AveCincinnati, OH 45219-3158 · Phone (513) 475-8285

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Insurance, Oscar Insurance Corporation of Ohio.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

Shawna Jacob Phd 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 ID6002142965

PECOS Enrollment IDI20190730002992

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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of psychological or neuropsychological test, each additional 30 minutes 96137

This procedure involves administering psychological or neuropsychological tests to evaluate your mental functions. Each additional 30 minutes allows for a more in-depth assessment of your cognitive abilities, emotions, and behavior. It's crucial for accurate diagnosis and treatment planning.

112 services40 patients

Evaluation of neuropsychological test, each additional hour 96133

This service involves further evaluation of your neuropsychological test results beyond the initial hour. It helps to understand your cognitive functioning better, focusing on areas like memory, attention, and problem-solving skills.

78 services40 patients

Exam of neurobehavioral status, first hour 96116

An exam of neurobehavioral status is a medical procedure that evaluates your brain's functions. This includes assessing your cognitive abilities, emotional responses, and behavioral patterns. The first hour of the exam is typically dedicated to this initial evaluation.

42 services42 patients

Evaluation of neuropsychological test, first hour 96132

An evaluation of neuropsychological tests is a process to assess your brain's function. It involves tasks designed to measure cognitive abilities such as memory, attention, problem-solving, and language skills. The first hour involves initial testing and observation.

41 services41 patients

Administration of psychological or neuropsychological test, first 30 minutes 96136

This procedure involves a health professional conducting a psychological or neuropsychological test. The first 30 minutes typically involve understanding your mental health or brain function through various assessments. This helps in diagnosing and treating mental health disorders effectively.

41 services41 patients

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MICHELLE M. KILCOYNE PH.D.

Psychologist (Clinical)