DR. JACOB FIRESTONE PSY.D.
NPI 1366907909
Psychologist - Clinical in Philadelphia, PA

Active since February 07, 2019
3900 WOODLAND AVE, PHILADELPHIA, PA 19104(215) 823-5800 Get Directions Write a Review

NPPES record last updated: September 14, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 14, 2020, Feb 7, 2019 (2 updates tracked since 2019).

About Dr. Jacob Firestone Psy.d. NPPES

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

DR. JACOB FIRESTONE PSY.D. (NPI 1366907909) is an individual clinical provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (022858) and active in the NPI registry since February 2019.

NPPES Registry Identity

NPI1366907909
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. JACOB FIRESTONECredential: PSY.D.
Location Address3900 WOODLAND AVEPhiladelphia, PA 19104-4551
Mailing Address3900 Woodland AvePhiladelphia, PA 19104-4551 · (215) 823-5800
Sole ProprietorNo
Enumeration DateFebruary 7, 2019
Last NPPES UpdateSeptember 14, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 14, 2020
NPI 1366907909 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Licenses Licensed in PA · 022858 Licensed in NY · 022858
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.
Also ListedPsychologistTaxonomy 103T00000X · License 022858 (NY)
3900 WOODLAND AVE, Philadelphia, PA 19104

Other Identifiers 1

Other103TC0700XPA · Va Taxonomy

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.

Psychiatry & Neurology (Neurology)
3900 WOODLAND AVE, PADRECC, #127
PHILADELPHIA, PA 19104
Social Worker (Clinical)
3900 WOODLAND AVE
PHILADELPHIA, PA 19104
Counselor (Addiction (Substance Use Disorder))
3900 WOODLAND AVE, ADDICTION RECOVERY UNIT 7TH FLOOR
PHILADELPHIA, PA 19104
Dietitian, Registered (Nutrition, Gerontological)
3900 WOODLAND AVE
PHILADELPHIA, PA 19104
Nurse Practitioner (Acute Care)
3900 WOODLAND AVE
PHILADELPHIA, PA 19104
Pharmacist (Pharmacotherapy)
3900 WOODLAND AVE, PHARMACY SERVICE #119
PHILADELPHIA, PA 19104
Physical Therapist
3900 WOODLAND AVE
PHILADELPHIA, PA 19104
Internal Medicine
3900 WOODLAND AVE
PHILADELPHIA, PA 19104

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 Firestone's NPI number?

The NPI number for Jacob Firestone is 1366907909. It was assigned to this individual provider in the NPPES registry on February 7, 2019.

Where is Jacob Firestone located?

Jacob Firestone practices at 3900 Woodland Ave, Philadelphia, PA 19104. The listed phone number is (215) 823-5800.

What is Jacob Firestone's specialty?

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

When was this NPI record last updated?

The NPPES record for Jacob Firestone was last updated on September 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.