NAOMI JACOBS PH.D.
NPI 1275641110
Psychologist - Clinical in Ponte Vedra Beach, FL

Q: What is Naomi Jacobs's NPI number?

The NPI number for Naomi Jacobs is 1275641110. It was assigned to this individual provider in the NPPES registry on August 29, 2006.

Q: What is Naomi Jacobs's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Naomi Jacobs was last updated on September 30, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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 29, 2006PECOS EnrolledAccepts Medicare Assignment

100 EXECUTIVE WAY, SUITE 207, PONTE VEDRA BEACH, FL 32082(904) 687-6336 Get Directions Write a Review

NPPES record last updated: September 30, 2013. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Naomi Jacobs Ph.d. NPPES

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

NAOMI JACOBS PH.D. (NPI 1275641110) is an individual clinical provider in Ponte Vedra Beach, Florida, licensed in Florida (PY6330) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of Northwestern University Feinberg Medical School (1997).

NPPES Registry Identity

NPI1275641110

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameNAOMI JACOBSCredential: PH.D.

Location Address100 EXECUTIVE WAY, SUITE 207Ponte Vedra Beach, FL 32082-2715

Mailing Address100 Executive Way, Suite 207Ponte Vedra Beach, FL 32082-2715 · (904) 687-6336

Phone(904) 687-6336

Sole ProprietorYes

Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 1997

Enumeration DateAugust 29, 2006

Last NPPES UpdateSeptember 30, 2013

✔ NPI 1275641110 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 FL · PY6330

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.

100 EXECUTIVE WAY, Ponte Vedra Beach, FL 32082

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Other Identifiers 1

Medicare ID-Type Unspecified54657FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

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

Naomi Jacobs Ph.d. 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 ID8224298930

PECOS Enrollment IDI20120423000250

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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837

Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.

285 services27 patients

Psychiatric diagnostic evaluation 90791

A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.

14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32082 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

$171.84 typical visit price

range $56.00 – $171.84

Typical copayment $42.96 (range $14.00 – $42.96)

Most-billed visit code 99205

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

Most-billed visit code 99214

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 18

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

DEBORAH D. HANNA LCSW

Social Worker (Clinical)

100 EXECUTIVE WAY, SUITE 113
PONTE VEDRA BEACH, FL 32082

St. Johns County (904) 273-6747

NEW CONNECTIONS COUNSELING & CONSULTING LLC

Counselor (Mental Health)

100 EXECUTIVE WAY, #206
PONTE VEDRA BEACH, FL 32082

St. Johns County (904) 273-4094

DR. JANICE WACHTEL PH.D.

Psychologist (Clinical)

100 EXECUTIVE WAY, STE 110
PONTE VEDRA BEACH, FL 32082

St. Johns County (904) 834-2235

ETTA F. ETTLINGER LCSW

Social Worker (Clinical)

100 EXECUTIVE WAY, SUITE #110
PONTE VEDRA, FL 32082

St. Johns County (904) 273-4099

NAOMI T. JACOBS, PH.D., P.A.

Psychologist (Clinical)

100 EXECUTIVE WAY, SUITE 207
PONTE VEDRA BEACH, FL 32082

St. Johns County (904) 687-6336

MR. JOSHUA G SCHMITT DPT

Physical Therapist

100 EXECUTIVE WAY, SUITE 109
PONTE VEDRA BEACH, FL 32082

St. Johns County (904) 543-9011

CORA HEALTH SERVICES INC.

Clinic/Center (Rehabilitation)

100 EXECUTIVE WAY, SUITE 109
PONTE VEDRA BEACH, FL 32082

St. Johns County (904) 543-9011

NATALIE CLEM

Physical Therapy Assistant

100 EXECUTIVE WAY, SUITE 109
PONTE VEDRA, FL 32082

St. Johns County (904) 543-9011

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 Naomi Jacobs's NPI number?

The NPI number for Naomi Jacobs is 1275641110. It was assigned to this individual provider in the NPPES registry on August 29, 2006.

Where is Naomi Jacobs located?

Naomi Jacobs practices at 100 Executive Way Suite 207, Ponte Vedra Beach, FL 32082. The listed phone number is (904) 687-6336.

What is Naomi Jacobs's specialty?

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

Is Naomi Jacobs enrolled in Medicare?

Yes. Naomi 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.

What insurance does Naomi Jacobs accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Naomi Jacobs as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Naomi Jacobs was last updated on September 30, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.