DR. MICHAEL SIMON JACOB M.D., PH.D.
NPI 1184966582
Psychiatry & Neurology - Psychiatry in San Francisco, CA

Active since March 23, 2013PECOS Enrolled
4150 CLEMENT ST, SAN FRANCISCO, CA 94121(415) 221-4810 Get Directions Write a Review

NPPES record last updated: January 15, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Michael Simon Jacob M.d., Ph.d. NPPES

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

DR. MICHAEL SIMON JACOB M.D., PH.D. (NPI 1184966582) is an individual psychiatry provider in San Francisco, California, licensed in California (133086) and active in the NPI registry since March 2013. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1184966582
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. MICHAEL SIMON JACOBCredential: M.D., PH.D.
Location Address4150 CLEMENT STSan Francisco, CA 94121-1563
Mailing Address1801 Bush St Ste 131dSan Francisco, CA 94109-5273 · (415) 952-6018 · Fax (209) 813-5559
Sole ProprietorNo
Enumeration DateMarch 23, 2013
Last NPPES UpdateJanuary 15, 2025
NPPES CertifiedJanuary 15, 2025
NPI 1184966582 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License Licensed in CA · 133086
Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

4150 CLEMENT ST, San Francisco, CA 94121

Secondary Practice Locations 2

Location 1211 Gough St Ste 115San Francisco, CA 94102-6802 · Phone (415) 952-6018 · Fax (209) 813-5559
Location 21801 Bush St Ste 131DSan Francisco, CA 94109-5273 · Phone (415) 952-6018 · Fax (209) 813-5559

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. Michael Simon Jacob M.d., Ph.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94121 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$202.35 typical visit price
range $69.00 – $202.35
Typical copayment $50.58 (range $17.25 – $50.58)
Most-billed visit code 99205
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Dermatology
4150 CLEMENT ST
SAN FRANCISCO, CA 94121
Nurse Practitioner
4150 CLEMENT ST
SAN FRANCISCO, CA 94121
Nurse Practitioner (Family)
4150 CLEMENT ST
SAN FRANCISCO, CA 94121
Hospice, Inpatient
4150 CLEMENT ST
SAN FRANCISCO, CA 94121
Internal Medicine (Geriatric Medicine)
4150 CLEMENT ST, SFVAMC BOX 181-G
SAN FRANCISCO, CA 94121
Internal Medicine
4150 CLEMENT ST, BLDG 1, RM306, BOX181G
SAN FRANCISCO, CA 94121
Nurse Practitioner (Adult Health)
4150 CLEMENT ST, WOMEN'S CLINIC 11C2
SAN FRANCISCO, CA 94121
Nurse Practitioner (Psychiatric/Mental Health)
4150 CLEMENT ST
SAN FRANCISCO, CA 94121

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 Michael Jacob's NPI number?

The NPI number for Michael Jacob is 1184966582. It was assigned to this individual provider in the NPPES registry on March 23, 2013.

Where is Michael Jacob located?

Michael Jacob practices at 4150 Clement St, San Francisco, CA 94121. The listed phone number is (415) 221-4810.

What is Michael Jacob's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Michael Jacob enrolled in Medicare?

Yes. Michael Jacob is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Michael Jacob was last updated on January 15, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.