LISA MARION JACOBS PHD
NPI 1104958305
Psychologist in Summit, NJ

Active since March 12, 2007PECOS Enrolled
55 WOODLAND AVE, SUMMIT, NJ 07901(908) 598-0870(908) 522-6668 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lisa Marion Jacobs Phd NPPES

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

LISA MARION JACOBS PHD (NPI 1104958305) is an individual psychologist in Summit, New Jersey and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104958305
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameLISA MARION JACOBSCredential: PHD
Location Address55 WOODLAND AVESummit, NJ 07901-2112
Mailing Address55 Woodland AveSummit, NJ 07901-2112 · (908) 598-0870 · Fax (908) 522-6668
Fax(908) 522-6668
Sole ProprietorYes
Enumeration DateMarch 12, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1104958305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
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.
55 WOODLAND AVE, Summit, NJ 07901

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Lisa Marion Jacobs Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 12

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

Social Worker (Clinical)
55 WOODLAND AVE
SUMMIT, NJ 07901
Social Worker (Clinical)
55 WOODLAND AVE
SUMMIT, NJ 07901
Oral & Maxillofacial Surgery
55 WOODLAND AVE
SUMMIT, NJ 07901
Clinic/Center (Mental Health (Including Community Mental Health Center))
55 WOODLAND AVE
SUMMIT, NJ 07901
Counselor
55 WOODLAND AVE
SUMMIT, NJ 07901
Social Worker (Clinical)
55 WOODLAND AVE
SUMMIT, NJ 07901
Social Worker (Clinical)
55 WOODLAND AVE
SUMMIT, NJ 07901
Social Worker (Clinical)
55 WOODLAND AVE
SUMMIT, NJ 07901

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 Lisa Jacobs's NPI number?

The NPI number for Lisa Jacobs is 1104958305. It was assigned to this individual provider in the NPPES registry on March 12, 2007.

Where is Lisa Jacobs located?

Lisa Jacobs practices at 55 Woodland Ave, Summit, NJ 07901. The listed phone number is (908) 598-0870.

What is Lisa Jacobs's specialty?

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

Is Lisa Jacobs enrolled in Medicare?

Yes. Lisa Jacobs is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lisa Jacobs was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.