DR. DANIEL ANTHONY JACOBSON
NPI 1164690756
Clinical Neuropsychologist in Vandenberg Afb, CA

Active since February 15, 2008PECOS Enrolled
338 S DAKOTA AVE, VANDENBERG AFB, CA 93437(586) 588-4002 Get Directions Write a Review

NPPES record last updated: November 26, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 8, 2018, Jul 20, 2018 (2 updates tracked since 2018).

About Dr. Daniel Anthony Jacobson NPPES

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

DR. DANIEL ANTHONY JACOBSON (NPI 1164690756) is an individual clinical neuropsychologist in Vandenberg Afb, California, licensed in Alabama (1794) and active in the NPI registry since February 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164690756
Entity TypeIndividualMale
Primary Taxonomy103G00000X
Provider Legal NameDR. DANIEL ANTHONY JACOBSON
Location Address338 S DAKOTA AVEVandenberg Afb, CA 93437-6307
Mailing Address1100 Wilford Hall Loop Bldg 4554Jbsa Lackland, TX 78236-5638 · (210) 292-7361
Sole ProprietorYes
Enumeration DateFebruary 15, 2008
Last NPPES UpdateNovember 26, 20242 updates tracked since enumeration
NPPES CertifiedNovember 26, 2024
NPI 1164690756 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 AL · 1794
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.

338 S DAKOTA AVE, Vandenberg Afb, CA 93437

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Daniel Anthony Jacobson 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 20

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

Physician Assistant
338 S DAKOTA AVE
VANDENBERG AFB, CA 93437
Psychologist
338 S DAKOTA AVE
VANDENBERG AFB, CA 93437
Dentist
338 S DAKOTA AVE
VANDENBERG AFB, CA 93437
Pharmacist
338 S DAKOTA AVE
VANDENBERG AFB, CA 93437
Physician Assistant
338 S DAKOTA AVE
VANDENBERG AFB, CA 93437
Optometrist
338 S DAKOTA AVE
VANDENBERG AFB, CA 93437
Psychologist (Clinical)
338 S DAKOTA AVE
VANDENBERG AFB, CA 93437
Military Hospital
338 S DAKOTA AVE
VANDENBERG AFB, CA 93437

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 Daniel Jacobson's NPI number?

The NPI number for Daniel Jacobson is 1164690756. It was assigned to this individual provider in the NPPES registry on February 15, 2008.

Where is Daniel Jacobson located?

Daniel Jacobson practices at 338 S Dakota Ave, Vandenberg Afb, CA 93437. The listed phone number is (586) 588-4002.

What is Daniel Jacobson's specialty?

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

Is Daniel Jacobson enrolled in Medicare?

Yes. Daniel Jacobson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Daniel Jacobson was last updated on November 26, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.