DR. WENDY LYNN JACOBS PHD
NPI 1174633242
Psychologist in Sarasota, FL

Active since August 30, 2006PECOS EnrolledAccepts Medicare Assignment
2650 BAHIA VISTA ST STE 201, SARASOTA, FL 34239(941) 402-7520 Get Directions Write a Review

NPPES record last updated: November 10, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Wendy Lynn Jacobs Phd NPPES

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

DR. WENDY LYNN JACOBS PHD (NPI 1174633242) is an individual psychologist in Sarasota, Florida, licensed in Florida (PY6367) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1998).

NPPES Registry Identity

NPI1174633242
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. WENDY LYNN JACOBSCredential: PHD
Location Address2650 BAHIA VISTA ST STE 201Sarasota, FL 34239-2625
Mailing AddressPo Box 17263Sarasota, FL 34276-0263 · (941) 402-7520
Sole ProprietorYes
Medical School CMSOtherGraduated 1998
Enumeration DateAugust 30, 2006
Last NPPES UpdateNovember 10, 2020
NPPES CertifiedNovember 10, 2020
NPI 1174633242 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 FL · PY6367
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.
2650 BAHIA VISTA ST STE 201, Sarasota, FL 34239

Other Identifiers 6

Other1353547Beechstreet
Other275688Managed Health Network
Other01-0698740Ubh
Other2068388Cigna
Other01-0698740Corphealth
Other276480-000Aetna/magellum

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. Wendy Lynn Jacobs 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 ID1759557341
PECOS Enrollment IDI20120103000503
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 3

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

Psychologist
2650 BAHIA VISTA ST STE 201
SARASOTA, FL 34239
Psychologist
2650 BAHIA VISTA ST STE 201
SARASOTA, FL 34239
Psychologist (Clinical)
2650 BAHIA VISTA ST STE 201
SARASOTA, FL 34239

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 Wendy Jacobs's NPI number?

The NPI number for Wendy Jacobs is 1174633242. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Wendy Jacobs located?

Wendy Jacobs practices at 2650 Bahia Vista St Ste 201, Sarasota, FL 34239. The listed phone number is (941) 402-7520.

What is Wendy Jacobs's specialty?

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

Is Wendy Jacobs enrolled in Medicare?

Yes. Wendy 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 Wendy Jacobs was last updated on November 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.