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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. JONATHAN M JACOBSON M.D.
NPI 1336196716
Psychiatry & Neurology - Child & Adolescent Psychiatry in Rutland, MA

Active since May 30, 2006PECOS Enrolled
60 MILES RD, RUTLAND, MA 01543(508) 886-4746(508) 886-9020 Get Directions Write a Review

NPPES record last updated: September 11, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Dr. Jonathan M Jacobson M.d. NPPES

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

DR. JONATHAN M JACOBSON M.D. (NPI 1336196716) is an individual child & adolescent psychiatry provider in Rutland, Massachusetts, licensed in Massachusetts (227913) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336196716
Entity TypeIndividualMale
Primary Taxonomy2084P0804X
Provider Legal NameDR. JONATHAN M JACOBSONCredential: M.D.
Location Address60 MILES RDRutland, MA 01543-1423
Mailing Address148 Worcester StWest Boylston, MA 01583-1751 · (508) 835-1735 · Fax (508) 835-1736
Phone(508) 886-4746
Fax(508) 886-9020
Sole ProprietorNo
Enumeration DateMay 30, 2006
Last NPPES UpdateSeptember 11, 2026
NPPES CertifiedSeptember 11, 2026
✔ NPI 1336196716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in MA · 227913
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.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 227913 (MA)
60 MILES RD, Rutland, MA 01543
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jonathan M Jacobson M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

MARTIN CAROLAN
Behavior Analyst
60 MILES RD
RUTLAND, MA 01543
Worcester County (508) 886-4746
DEVEREUX FOUNDATION
Psychiatric Residential Treatment Facility
60 MILES RD
RUTLAND, MA 01543
Worcester County (508) 886-4746
DR. KRISTIN MICHALINA BOROZNY PSYD
Psychologist
60 MILES RD
RUTLAND, MA 01543
Worcester County (508) 886-4746
REBECCA ESTELLE HIMMELSTEIN
Social Worker (Clinical)
60 MILES RD
RUTLAND, MA 01543
Worcester County (508) 886-4746

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 Jonathan Jacobson's NPI number?

The NPI number for Jonathan Jacobson is 1336196716. It was assigned to this individual provider in the NPPES registry on May 30, 2006.

Where is Jonathan Jacobson located?

Jonathan Jacobson practices at 60 Miles Rd, Rutland, MA 01543. The listed phone number is (508) 886-4746.

What is Jonathan Jacobson's specialty?

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

Is Jonathan Jacobson enrolled in Medicare?

Yes. Jonathan Jacobson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jonathan Jacobson was last updated on September 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days 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.