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DR. MARY E JACOBSEN PSY.D.
NPI 1245435759
Psychologist - Clinical in Winston Salem, NC

Active since June 15, 2007
2594 REYNOLDA RD, SUITE D, WINSTON SALEM, NC 27106(336) 671-6021 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mary E Jacobsen Psy.d. NPPES

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

DR. MARY E JACOBSEN PSY.D. (NPI 1245435759) is an individual clinical provider in Winston Salem, North Carolina, licensed in Virginia (0810003296) and active in the NPI registry since June 2007.

NPPES Registry Identity

NPI1245435759
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. MARY E JACOBSENCredential: PSY.D.
Location Address2594 REYNOLDA RD, SUITE DWinston Salem, NC 27106-4601
Mailing Address4220 Redwing CirWinston Salem, NC 27106-4273 · (336) 922-7152 · Fax (336) 922-5239
Phone(336) 671-6021
Sole ProprietorYes
Enumeration DateJune 15, 2007
Last NPPES UpdateSeptember 11, 2025
✔ NPI 1245435759 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in VA · 0810003296
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.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 5110 (NC)
Also ListedPsychologistTaxonomy 103T00000X · License MN3087 (MN)
2594 REYNOLDA RD, Winston Salem, NC 27106
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Other Providers at the Same Location NPPES

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

CATHERINE A JOURDAN MAED, LPC
Counselor (Professional)
2594 REYNOLDA RD
WINSTON SALEM, NC 27106
Forsyth County (336) 777-1444

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 Mary Jacobsen's NPI number?

The NPI number for Mary Jacobsen is 1245435759. It was assigned to this individual provider in the NPPES registry on June 15, 2007.

Where is Mary Jacobsen located?

Mary Jacobsen practices at 2594 Reynolda Rd Suite D, Winston Salem, NC 27106. The listed phone number is (336) 671-6021.

What is Mary Jacobsen's specialty?

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

When was this NPI record last updated?

The NPPES record for Mary Jacobsen was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.