DR. JACOB BURMEISTER PHD
NPI 1467067744
Psychologist in Perrysburg, OH

Active since September 13, 2020Opted out of Medicare · through Jan 12, 2028
1070 COMMERCE, BUILDING 2, SUITE 301, PERRYSBURG, OH 43551(419) 931-3029 Get Directions Write a Review

NPPES record last updated: September 13, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jacob Burmeister Phd NPPES

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

DR. JACOB BURMEISTER PHD (NPI 1467067744) is an individual psychologist in Perrysburg, Ohio, licensed in Ohio (P.08070) and active in the NPI registry since September 2020. He has opted out of Medicare through January 12, 2028.

NPPES Registry Identity

NPI1467067744
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. JACOB BURMEISTERCredential: PHD
Location Address1070 COMMERCE, BUILDING 2, SUITE 301Perrysburg, OH 43551
Mailing Address1070 Commerce Dr Ste 301Perrysburg, OH 43551-5236
Sole ProprietorNo
Enumeration DateSeptember 13, 2020
NPPES CertifiedSeptember 13, 2020
NPI 1467067744 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 OH · P.08070
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.
1070 COMMERCE, Perrysburg, OH 43551

Accepted Insurance

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 Burmeister 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 January 12, 2022 through January 12, 2028.

Opt-Out Effective DateJanuary 12, 2022
Opt-Out In Effect ThroughJanuary 12, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Burmeister's NPI number?

The NPI number for Jacob Burmeister is 1467067744. It was assigned to this individual provider in the NPPES registry on September 13, 2020.

Where is Jacob Burmeister located?

Jacob Burmeister practices at 1070 Commerce Building 2, Suite 301, Perrysburg, OH 43551. The listed phone number is (419) 931-3029.

What is Jacob Burmeister's specialty?

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

Is Jacob Burmeister enrolled in Medicare?

No. Jacob Burmeister has opted out of Medicare through January 12, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Jacob Burmeister accept?

Health plans from McLaren Health Plan Community and MedMutual list Jacob Burmeister 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 Jacob Burmeister was last updated on September 13, 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.