CECILIA JACOBS, PSY.D., LLC
NPI 1134392814
Community/Behavioral Health in Fairborn, OH
NPI Status: Active since April 02, 2008
Contact Information
2188 GATEWAY DR
FAIRBORN, OH
ZIP 45324
Phone: (937) 320-5859
Fax: (937) 426-1349
- Organization
- Community/Behavioral Health
About CECILIA JACOBS, PSY.D., LLC
This page provides the complete NPI Profile along with additional information for Cecilia Jacobs, Psy.d., Llc, a provider established in Fairborn, Ohio operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1134392814 assigned on April 2008. The practitioner's primary taxonomy code is 251S00000X with license number 5332 (OH). The provider is registered as an organization and their NPI record was last updated 17 years ago. The authorized official of this NPI record is Dr. Cecilia Jacobs Psy.d. (Clinical Psychologist)
- NPI
- 1134392814
- Provider Name
- CECILIA JACOBS, PSY.D., LLC
- Entity Type
- Organization
- Location Address
- 2188 GATEWAY DR FAIRBORN, OH 45324
- Location Phone
- (937) 320-5859
- Location Fax
- (937) 426-1349
- Mailing Address
- 2188 GATEWAY DR FAIRBORN, OH 45324
- Mailing Phone
- (937) 320-5859
- Mailing Fax
- (937) 426-1349
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-02-2008
- Last Update Date
- 04-02-2008
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Community/Behavioral Health
- Taxonomy Code
- 251S00000X
- Type
- Agencies
- License No.
- 5332
- License State
- OH
- Taxonomy Description
- A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| CE9357771 | MEDICARE UPIN (02) | OH |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 3 | 4 | 3 | 9 | 2 | 8 | 1 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 6 | 4 | 6 | 9 | 4 | 8 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 6 + 4 + 6 + 9 + 4 + 8 + 2 + 24 = 66 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 66 = 4 | 4 | ||||||||
The NPI number 1134392814 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 3 providers are registered at the same or nearby location.
DR. KATHY LYNN ACUS-SOUDERS PSY.D.
Psychologist
(Clinical)
2188 GATEWAY DR
FAIRBORN, OH
ZIP 45324
CECILIA JACOBS PSY.D.
Psychologist
(Clinical)
2188 GATEWAY DR
FAIRBORN, OH
ZIP 45324
KATHY ACUS-SOUDERS, PSY.D., LLC
Psychologist
(Clinical)
2188 GATEWAY DR
FAIRBORN, OH
ZIP 45324
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1134392814, enumerated as an "organization" on April 02, 2008.
The provider is located at 2188 GATEWAY DR FAIRBORN, OH 45324 and the phone number is (937) 320-5859.
Community/Behavioral Health with taxonomy code 251S00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
