BRUCE K JACOBSON PH D P C - NPI 1417913575 - Clinic/Center in Salt Lake City, UT

Q: What is Bruce K Jacobson Ph D P C's NPI number?

The NPI number for Bruce K Jacobson Ph D P C is 1417913575. It was assigned to this organization in the NPPES registry on April 26, 2006.

Q: What is Bruce K Jacobson Ph D P C's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

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About Bruce K Jacobson Ph D P C NPPES

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

BRUCE K JACOBSON PH D P C (NPI 1417913575) is a healthcare organization registered as an adult mental health in Salt Lake City, Utah and active in the NPI registry since April 2006. The organization lists Bruce K Jacobson, President And Psychologist, as its authorized official.

NPPES Registry Identity

NPI1417913575

Entity TypeOrganization

Primary Taxonomy261QM0850X

Legal Business NameBRUCE K JACOBSON PH D P C

Location Address4190 HIGHLAND DR, SUITE 211Salt Lake City, UT 84124-2600

Mailing Address4190 Highland Dr, Suite 211Salt Lake City, UT 84124-2600 · (801) 272-0614 · Fax (801) 272-0678

Phone(801) 272-0614

Fax(801) 272-0678

Organization SubpartNo

Authorized OfficialBruce K JacobsonPresident And Psychologist · (801) 272-0614

Enumeration DateApril 26, 2006

Last NPPES UpdateMarch 16, 2018

✔ NPI 1417913575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities

Taxonomy Code261QM0850X

License✔ Licensed in UT · 1162592501

Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

4190 HIGHLAND DR, Salt Lake City, UT 84124

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, University of Utah Health Plans.Insurance ›

Other Providers at the Same Location NPPES 10

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

MS. LINDA C GURRISTER LCSW

Social Worker (Clinical)

4190 HIGHLAND DR, SUITE 210
SALT LAKE CITY, UT 84124

Salt Lake County (801) 278-8492

DR. DOUGLAS BURGOYNE PHARMD, RPH

Pharmacist

4190 HIGHLAND DR, SUITE 250
SALT LAKE CITY, UT 84124

Salt Lake County (801) 865-1997

DR. GRANT B. CANNON D.D.S., M.D.

Dentist (Oral and Maxillofacial Surgery)

4190 HIGHLAND DR, SUITE 112
SALT LAKE CITY, UT 84124

Salt Lake County (801) 272-9241

KARL E SEASHORE M.S., L.P.C.

Counselor (Professional)

4190 HIGHLAND DR, SUITE 211
SALT LAKE CITY, UT 84124

Salt Lake County (801) 272-0613

MR. JEFFREY RALPH GRANT L.C.S.W.

Social Worker (Clinical)

4190 HIGHLAND DR, SUITE 210
SALT LAKE CITY, UT 84124

Salt Lake County (801) 274-0403

DR. JAN ELLEN KADERABEK BURTON PH.D.

Psychologist (Clinical)

4190 HIGHLAND DR
SALT LAKE CITY, UT 84124

Salt Lake County (801) 274-0403

DR. KATHLEEN STROMAN KING PHD

Psychologist

4190 HIGHLAND DR, SUITE 210
SALT LAKE CITY, UT 84124

Salt Lake County (801) 943-7897

KARL E SEASHORE, LPC, PC

Counselor (Professional)

4190 HIGHLAND DR, SUITE 211
SALT LAKE CITY, UT 84124

Salt Lake County (801) 272-0613

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 Bruce K Jacobson Ph D P C's NPI number?

The NPI number for Bruce K Jacobson Ph D P C is 1417913575. It was assigned to this organization in the NPPES registry on April 26, 2006.

Where is Bruce K Jacobson Ph D P C located?

Bruce K Jacobson Ph D P C is located at 4190 Highland Dr Suite 211, Salt Lake City, UT 84124. The listed phone number is (801) 272-0614.

What is Bruce K Jacobson Ph D P C's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

What insurance does Bruce K Jacobson Ph D P C accept?

Health plans from Molina Healthcare and University of Utah Health Plans list Bruce K Jacobson Ph D P C as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bruce K Jacobson Ph D P C was last updated on March 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.