DR. MELORA JEAN JACOBER PSY.D.
NPI 1215075866
Psychologist - Clinical in Georgetown, TX

Q: What is Melora Jacober's NPI number?

The NPI number for Melora Jacober is 1215075866. It was assigned to this individual provider in the NPPES registry on February 2, 2007.

Q: What is Melora Jacober's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: Is Melora Jacober enrolled in Medicare?

No. Melora Jacober has opted out of Medicare through July 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Melora Jacober was last updated on December 20, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since February 02, 2007Opted out of Medicare · through Jul 1, 2027

4500 WILLIAMS DR, STE 212-182, GEORGETOWN, TX 78633(808) 938-5205(512) 681-7576 Get Directions Write a Review

NPPES record last updated: December 20, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Melora Jean Jacober Psy.d. NPPES

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

DR. MELORA JEAN JACOBER PSY.D. (NPI 1215075866) is an individual clinical provider in Georgetown, Texas, licensed in Texas (36495) and active in the NPI registry since February 2007. She has opted out of Medicare through July 1, 2027.

NPPES Registry Identity

NPI1215075866

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. MELORA JEAN JACOBERCredential: PSY.D.

Location Address4500 WILLIAMS DR, STE 212-182Georgetown, TX 78633-1332

Mailing Address4500 Williams Dr, Ste 212-182Georgetown, TX 78633-1332 · (808) 938-5205 · Fax (512) 681-7576

Phone(808) 938-5205

Fax(512) 681-7576

Sole ProprietorYes

Enumeration DateFebruary 2, 2007

Last NPPES UpdateDecember 20, 2014

✔ NPI 1215075866 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

Licenses✔ Licensed in TX · 36495✔ Licensed in HI · PSY-624✔ Licensed in CA · 23120

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

4500 WILLIAMS DR, Georgetown, TX 78633

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Other Identifiers 1

Medicare ID-Type Unspecified50869HI

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Melora Jean Jacober Psy.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2021 through July 1, 2027.

Opt-Out Effective DateJuly 1, 2021

Opt-Out In Effect ThroughJuly 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 9

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

PAULA HERRIN

Pharmacy Technician