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

Active since May 30, 2006PECOS Enrolled
148 WORCESTER ST, WEST BOYLSTON, MA 01583(508) 835-1735(508) 835-1736 Get Directions Write a Review

NPPES record last updated: August 8, 2008. Verified against the NPPES registry weekly; last sync: August 02, 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 West Boylston, 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 Address148 WORCESTER STWest Boylston, MA 01583-1751
Mailing Address148 Worcester StWest Boylston, MA 01583-1751 · (508) 835-1735 · Fax (508) 835-1736
Phone(508) 835-1735
Fax(508) 835-1736
Sole ProprietorNo
Enumeration DateMay 30, 2006
Last NPPES UpdateAugust 8, 2008
✔ 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)
148 WORCESTER ST, West Boylston, MA 01583
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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 20

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

DEBORAH SAPER LMFT
Marriage & Family Therapist
148 WORCESTER ST
WEST BOYLSTON, MA 01583
Worcester County (508) 835-1735
MS. PATRICIA ELLEN LONERGAN L.M.H.C.
Counselor (Mental Health)
148 WORCESTER ST
WEST BOYLSTON, MA 01583
Worcester County (508) 835-1735
DAWN MARIE HARTNETT LICSW
Social Worker (Clinical)
148 WORCESTER ST
WEST BOYLSTON, MA 01583
Worcester County (508) 835-1735
MRS. KELLY ANN HOBSON MA, LMHC
Counselor (Mental Health)
148 WORCESTER ST
WEST BOYLSTON, MA 01583
Worcester County (508) 612-4139
DR. KIMBERLY MASTIS M.D.
Psychiatry & Neurology (Psychiatry)
148 WORCESTER ST
WEST BOYLSTON, MA 01583
Worcester County (508) 835-1735
DR. TRACEY LYNN GUERTIN PH.D., H.S.P.
Psychologist
148 WORCESTER ST
WEST BOYLSTON, MA 01583
Worcester County (508) 835-1735
JOAN CURRAN LMHC, BCBA, LABA
Counselor (Mental Health)
148 WORCESTER ST
WEST BOYLSTON, MA 01583
Worcester County (508) 835-1735
MRS. JULIE ELLEN LYSIAK RN MS CS
Registered Nurse (Psychiatric/Mental Health, Child & Adolescent)
148 WORCESTER ST
WEST BOYLSTON, MA 01583
Worcester County (508) 835-1735

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 148 Worcester St, West Boylston, MA 01583. The listed phone number is (508) 835-1735.

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 August 8, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.