JACOB H JACOBY MEDICAL PC
NPI 1316597008
Psychologist - Clinical Child & Adolescent in Suffern, NY

Active since September 16, 2019
100 ROUTE 59 STE 103, SUFFERN, NY 10901(845) 697-0000(718) 387-6429 Get Directions Write a Review

NPPES record last updated: September 16, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacob H Jacoby Medical Pc NPPES

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

JACOB H JACOBY MEDICAL PC (NPI 1316597008) is a healthcare organization registered as a clinical child & adolescent in Suffern, New York and active in the NPI registry since September 2019. The organization lists Jacob Jacoby, Ceo, as its authorized official.

NPPES Registry Identity

NPI1316597008
Entity TypeOrganization
Primary Taxonomy103TC2200X
Legal Business NameJACOB H JACOBY MEDICAL PC
Location Address100 ROUTE 59 STE 103Suffern, NY 10901-4927
Mailing Address100 Route 59 Ste 103Suffern, NY 10901-4927 · (845) 697-0000 · Fax (718) 387-6429
Fax(718) 387-6429
Organization SubpartNo
Authorized OfficialJacob JacobyCeo · (845) 697-0000
Enumeration DateSeptember 16, 2019
NPI 1316597008 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers
Taxonomy Code103TC2200X
Definition
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.
Also ListedPsychologist · Cognitive & BehavioralTaxonomy 103TB0200X
Also ListedPsychologist · FamilyTaxonomy 103TF0000X
100 ROUTE 59 STE 103, Suffern, NY 10901

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

Social Worker (Clinical)
100 ROUTE 59 STE 103
SUFFERN, NY 10901
Social Worker (Clinical)
100 ROUTE 59 STE 103
SUFFERN, NY 10901
Social Worker (Clinical)
100 ROUTE 59 STE 103
SUFFERN, NY 10901
Clinic/Center (Multi-Specialty)
100 ROUTE 59 STE 103
SUFFERN, NY 10901

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 Jacob H Jacoby Medical PC's NPI number?

The NPI number for Jacob H Jacoby Medical PC is 1316597008. It was assigned to this organization in the NPPES registry on September 16, 2019.

Where is Jacob H Jacoby Medical PC located?

Jacob H Jacoby Medical PC is located at 100 Route 59 Ste 103, Suffern, NY 10901. The listed phone number is (845) 697-0000.

What is Jacob H Jacoby Medical PC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

When was this NPI record last updated?

The NPPES record for Jacob H Jacoby Medical PC was last updated on September 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.