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DR. JACOB ALLEN NOTA PHD
NPI 1447770839
Psychologist - Clinical in Natick, MA

Active since June 27, 2017Opted out of Medicare · through Jun 28, 2028
11 TRAVIS RD, NATICK, MA 01760(781) 627-5253 Get Directions Write a Review

NPPES record last updated: September 27, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 27, 2022, Aug 31, 2020, Apr 12, 2018 and 1 more (4 updates tracked since 2017).

About Dr. Jacob Allen Nota Phd NPPES

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

DR. JACOB ALLEN NOTA PHD (NPI 1447770839) is an individual clinical provider in Natick, Massachusetts, licensed in Massachusetts (10698) and active in the NPI registry since June 2017. He has opted out of Medicare through June 28, 2028 and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1447770839
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. JACOB ALLEN NOTACredential: PHD
Location Address11 TRAVIS RDNatick, MA 01760-2420
Mailing Address11 Travis RdNatick, MA 01760-2420 · (339) 206-4507
Phone(781) 627-5253
Sole ProprietorYes
Enumeration DateJune 27, 2017
Last NPPES UpdateSeptember 27, 20224 updates tracked since enumeration
NPPES CertifiedSeptember 27, 2022
✔ NPI 1447770839 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in MA · 10698
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 ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
11 TRAVIS RD, Natick, MA 01760
Open in Google Maps ↗

Secondary Practice Locations 3

Location 1115 Mill StBelmont, MA 02478-1064 · Phone (617) 855-2934
Location 222 Mill St Ste 108Arlington, MA 02476-4738 · Phone (617) 855-2934
Location 322 Mill St Ste 2AArlington, MA 02476-4738 · Phone (781) 627-5253

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Jacob Allen Nota Phd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 28, 2022 through June 28, 2028.

Opt-Out Effective DateJune 28, 2022
Opt-Out In Effect ThroughJune 28, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01760 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$189.86 typical visit price
range $63.72 – $189.86
Typical copayment $47.46 (range $15.93 – $47.46)
Most-billed visit code 99205
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Nota's NPI number?

The NPI number for Jacob Nota is 1447770839. It was assigned to this individual provider in the NPPES registry on June 27, 2017.

Where is Jacob Nota located?

Jacob Nota practices at 11 Travis Rd, Natick, MA 01760. The listed phone number is (781) 627-5253.

What is Jacob Nota's specialty?

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

Is Jacob Nota enrolled in Medicare?

No. Jacob Nota has opted out of Medicare through June 28, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Jacob Nota was last updated on September 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.