CONNIE MYERSON JACOCKS PH.D.
NPI 1215218599
Psychologist - Clinical in Denver, CO

Q: What is Connie Jacocks's NPI number?

The NPI number for Connie Jacocks is 1215218599. It was assigned to this individual provider in the NPPES registry on August 31, 2011.

Q: What is Connie Jacocks's specialty?

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

Q: Is Connie Jacocks enrolled in Medicare?

No. Connie Jacocks 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 Connie Jacocks was last updated on March 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 August 31, 2011Opted out of Medicare · through Jul 1, 2027

720 S COLORADO BLVD PH NORTH, DENVER, CO 80246(720) 445-5810 Get Directions Write a Review

NPPES record last updated: March 14, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Connie Myerson Jacocks Ph.d. NPPES

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

CONNIE MYERSON JACOCKS PH.D. (NPI 1215218599) is an individual clinical provider in Denver, Colorado, licensed in Colorado (PSY0004215) and active in the NPI registry since August 2011. She has opted out of Medicare through July 1, 2027.

NPPES Registry Identity

NPI1215218599

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameCONNIE MYERSON JACOCKSCredential: PH.D.

Location Address720 S COLORADO BLVD PH NORTHDenver, CO 80246-1904

Mailing Address720 S Colorado Blvd Ph NorthDenver, CO 80246-1904 · (720) 445-5810

Phone(720) 445-5810

Sole ProprietorYes

Enumeration DateAugust 31, 2011

Last NPPES UpdateMarch 14, 2023

NPPES CertifiedMarch 14, 2023

✔ NPI 1215218599 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in CO · PSY0004215

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.

720 S COLORADO BLVD PH NORTH, Denver, CO 80246

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Connie Myerson Jacocks Ph.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, 2023 through July 1, 2027.

Opt-Out Effective DateJuly 1, 2023

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

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.

AUTUMN BEAVER

Behavior Technician