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DR. LISA JACOBS M.D.
NPI 1316366347
Psychiatry & Neurology - Child & Adolescent Psychiatry in Menlo Park, CA

Active since April 07, 2014Opted out of Medicare · through Feb 10, 2028
825 OAK GROVE AVE STE D202, MENLO PARK, CA 94025(650) 223-5514(415) 413-2335 Get Directions Write a Review

NPPES record last updated: September 22, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Lisa Jacobs M.d. NPPES

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

DR. LISA JACOBS M.D. (NPI 1316366347) is an individual child & adolescent psychiatry provider in Menlo Park, California, licensed in California (A148928) and active in the NPI registry since April 2014. She has opted out of Medicare through February 10, 2028 and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1316366347
Entity TypeIndividualFemale
Primary Taxonomy2084P0804X
Provider Legal NameDR. LISA JACOBSCredential: M.D.
Location Address825 OAK GROVE AVE STE D202Menlo Park, CA 94025-4427
Mailing Address50 Church St Ste 112Montclair, NJ 07042-2761 · (650) 223-5514 · Fax (415) 413-2335
Phone(650) 223-5514
Fax(415) 413-2335
Sole ProprietorNo
Enumeration DateApril 7, 2014
Last NPPES UpdateSeptember 22, 2023
NPPES CertifiedSeptember 22, 2023
✔ NPI 1316366347 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
Licenses✔ Licensed in CA · A148928✔ Licensed in NY · 316492-01✔ Licensed in NJ · 25MA11471200
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
825 OAK GROVE AVE STE D202, Menlo Park, CA 94025
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Secondary Practice Locations 2

Location 150 Church St Ste 112Montclair, NJ 07042-2761 · Phone (650) 223-5514 · Fax (415) 413-2335
Location 2291 Broadway Rm 710New York, NY 10007-1928 · Phone (650) 223-5514 · Fax (415) 413-2335

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. Lisa Jacobs M.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 February 10, 2020 through February 10, 2028.

Opt-Out Effective DateFebruary 10, 2020
Opt-Out In Effect ThroughFebruary 10, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 3

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

DR. TIFFANY JEAN HWANG MD
Psychiatry & Neurology (Psychiatry)
825 OAK GROVE AVE STE D202
MENLO PARK, CA 94025
San Mateo County (650) 713-2288
CHUN CHIEH KEVIN LUO MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
825 OAK GROVE AVE STE D202
MENLO PARK, CA 94025
San Mateo County (650) 382-2793
TIFFANY HWANG MD INC.
Psychiatry & Neurology (Psychiatry)
825 OAK GROVE AVE STE D202
MENLO PARK, CA 94025
San Mateo County (650) 713-2288

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 Lisa Jacobs's NPI number?

The NPI number for Lisa Jacobs is 1316366347. It was assigned to this individual provider in the NPPES registry on April 7, 2014.

Where is Lisa Jacobs located?

Lisa Jacobs practices at 825 Oak Grove Ave Ste D202, Menlo Park, CA 94025. The listed phone number is (650) 223-5514.

What is Lisa Jacobs's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Lisa Jacobs enrolled in Medicare?

No. Lisa Jacobs has opted out of Medicare through February 10, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Lisa Jacobs was last updated on September 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.