BRUCE K JACOBSON PH D P C
NPI 1417913575
Clinic/Center - Adult Mental Health in Salt Lake City, UT
NPI Status: Active since April 26, 2006
Contact Information
4190 HIGHLAND DR
SUITE 211
SALT LAKE CITY, UT
ZIP 84124
Phone: (801) 272-0614
Fax: (801) 272-0678
- Organization
- Clinic/Center
- Adult Mental Health
- Accepts Insurance
About BRUCE K JACOBSON PH D P C
This page provides the complete NPI Profile along with additional information for Bruce K Jacobson Ph D P C, a provider established in Salt Lake City, Utah operating as a Clinic/center, focusing in adult mental health . The healthcare provider is registered in the NPI registry with number 1417913575 assigned on April 2006. The practitioner's primary taxonomy code is 261QM0850X with license number 1162592501 (UT). The provider is registered as an organization and their NPI record was last updated 8 years ago. The authorized official of this NPI record is Bruce K Jacobson Ph D P C (President And Psychologist)
- NPI
- 1417913575
- Provider Name
- BRUCE K JACOBSON PH D P C
- Entity Type
- Organization
- Location Address
- 4190 HIGHLAND DR SUITE 211 SALT LAKE CITY, UT 84124
- Location Phone
- (801) 272-0614
- Location Fax
- (801) 272-0678
- Mailing Address
- 4190 HIGHLAND DR SUITE 211 SALT LAKE CITY, UT 84124
- Mailing Phone
- (801) 272-0614
- Mailing Fax
- (801) 272-0678
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-26-2006
- Last Update Date
- 03-16-2018
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Adult Mental Health
- Taxonomy Code
- 261QM0850X
- Type
- Ambulatory Health Care Facilities
- License No.
- 1162592501
- License State
- UT
- Taxonomy Description
- An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Molina Gold Core 1640 - HMO
- Molina Gold Core 1640 Plus with Adult Dental and Vision - HMO
- Molina Gold Standard - HMO
- Molina Silver Core - HMO
- Molina Silver Core Plus with Adult Dental and Vision - HMO
- Molina Silver Core Plus with Adult Vision - HMO
- Molina Silver Saver with Four Free PCP Visits - HMO
- Molina Silver Standard - HMO
- Healthy Premier Bronze HSA - EPO
- Healthy Premier Expanded Bronze Standard - EPO
- Healthy Premier Gold Copay Office Visits - EPO
- Healthy Premier Gold Standard - EPO
- Healthy Premier Silver Copay Office Visits - EPO
- Healthy Premier Silver Standard - EPO
- U Health Plus Bronze - EPO
- U Health Plus Expanded Bronze Standard - EPO
- U Health Plus Gold - EPO
- U Health Plus Gold Standard - EPO
- U Health Plus Silver - EPO
- U Health Plus Silver Standard - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1417913575, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 65 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 10 providers are registered at the same or a nearby location.
SALT LAKE CITY, UT 84124
SALT LAKE CITY, UT 84124
SALT LAKE CITY, UT 84124
SALT LAKE CITY, UT 84124
SALT LAKE CITY, UT 84124
SALT LAKE CITY, UT 84124
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1417913575, enumerated as an "organization" on April 26, 2006.
The provider is located at 4190 HIGHLAND DR SUITE 211 SALT LAKE CITY, UT 84124 and the phone number is (801) 272-0614.
Clinic/Center with taxonomy code 261QM0850X and a focus in Adult Mental Health.
The provider might be accepting Accepts: Molina Healthcare and University of Utah Health. Please consult your insurance carrier or call the provider to verify.
