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

DR. MATTHEW DAVID JACOFSKY PSY.D.
NPI 1376597690
Psychologist in Great Neck, NY

Active since May 20, 2006PECOS Enrolled
935 NORTHERN BLVD, SUITE 102, GREAT NECK, NY 11021(516) 487-7116(516) 829-1731 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Matthew David Jacofsky Psy.d. NPPES

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

DR. MATTHEW DAVID JACOFSKY PSY.D. (NPI 1376597690) is an individual psychologist in Great Neck, New York, licensed in New York (016733) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1376597690
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. MATTHEW DAVID JACOFSKYCredential: PSY.D.
Location Address935 NORTHERN BLVD, SUITE 102Great Neck, NY 11021-5309
Mailing Address3941 213th St, Apt 3Bayside, NY 11361-2054 · (718) 428-9679
Fax(516) 829-1731
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateMay 20, 2006
Last NPPES UpdateJuly 13, 2026
NPI 1376597690 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in NY · 016733
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
935 NORTHERN BLVD, Great Neck, NY 11021

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Matthew David Jacofsky Psy.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6608887088
PECOS Enrollment IDI20060523000163
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.

Ophthalmology
935 NORTHERN BLVD, SUITE 204
GREAT NECK, NY 11021
Psychologist (Clinical)
935 NORTHERN BLVD, SUITE 102
GREAT NECK, NY 11021
Physician Assistant (Medical)
935 NORTHERN BLVD
GREAT NECK, NY 11021
Radiology (Diagnostic Radiology)
935 NORTHERN BLVD, SUITE 200
GREAT NECK, NY 11021
Obstetrics & Gynecology
935 NORTHERN BLVD, SUITE 105
GREAT NECK, NY 11021
Physician Assistant
935 NORTHERN BLVD, SUITE 300
GREAT NECK, NY 11021
Psychologist (Clinical)
935 NORTHERN BLVD, SUITE 102
GREAT NECK, NY 11021
Clinic/Center (Ambulatory Surgical)
935 NORTHERN BLVD, SUITE 302
GREAT NECK, NY 11021

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 Matthew Jacofsky's NPI number?

The NPI number for Matthew Jacofsky is 1376597690. It was assigned to this individual provider in the NPPES registry on May 20, 2006.

Where is Matthew Jacofsky located?

Matthew Jacofsky practices at 935 Northern Blvd Suite 102, Great Neck, NY 11021. The listed phone number is (516) 487-7116.

What is Matthew Jacofsky's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Matthew Jacofsky enrolled in Medicare?

Yes. Matthew Jacofsky is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Matthew Jacofsky was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 28 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.