DR. SUSAN VIVIAN JACOB PHD
NPI 1467675819
Psychologist - Clinical Child & Adolescent in Port Washington, NY

Q: What is Susan Jacob's NPI number?

The NPI number for Susan Jacob is 1467675819. It was assigned to this individual provider in the NPPES registry on April 11, 2007. The provider is also known as Susan Vivian Jakob Doctorate.

Q: What is Susan Jacob's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Q: When was this NPI record last updated?

The NPPES record for Susan Jacob was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since April 11, 2007

14 VANDERVENTER AVE, PORT WASHINGTON, NY 11050(516) 944-3786 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Susan Vivian Jacob Phd NPPES

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

DR. SUSAN VIVIAN JACOB PHD (NPI 1467675819) is an individual clinical child & adolescent provider in Port Washington, New York, licensed in New York (0077981) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1467675819

Entity TypeIndividualFemale

Primary Taxonomy103TC2200X

Provider Legal NameDR. SUSAN VIVIAN JACOBCredential: PHD

Location Address14 VANDERVENTER AVEPort Washington, NY 11050-3737

Mailing Address14 Vanderventer AvePort Washington, NY 11050-3737 · (516) 944-3786

Phone(516) 944-3786

Sole ProprietorYes

Enumeration DateApril 11, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1467675819 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers

Taxonomy Code103TC2200X

License✔ Licensed in NY · 0077981

Definition

A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.

14 VANDERVENTER AVE, Port Washington, NY 11050

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Other Names 1

Former Name (1)Susan Vivian Jakob Doctorate

Other Identifiers 1

Other0077981NY · License Number

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.

JOSEPH T SHEN M.D.

Physical Medicine & Rehabilitation (Sports Medicine)

14 VANDERVENTER AVE, SUITE 130-138
PORT WASHINGTON, NY 11050

Nassau County (516) 883-3383

DR. ASHRAF M ESTAFAN DDS

Dentist (Prosthodontics)

14 VANDERVENTER AVE, SUITE 215
PORT WASHINGTON, NY 11050

Nassau County (516) 883-6199

DR. RHONDA MAE YOSS-KAPLAN PSY.D

Psychologist (Clinical Child & Adolescent)

14 VANDERVENTER AVE, SUITE 103
PORT WASHINGTON, NY 11050

Nassau County (516) 767-8180

DR. DANIELA SPECTOR D.D.S

Dentist

14 VANDERVENTER AVE, SUITE 120
PORT WASHINGTON, NY 11050

Nassau County (516) 883-0584

DR. ANITA E SHASHOUA DDS

Dentist

14 VANDERVENTER AVE, SUITE 212
PORT WASHINGTON, NY 11050

Nassau County (516) 802-4141

ROBERT STEVEN POPKIN DMD MAGD

Dentist (General Practice)

14 VANDERVENTER AVE
PORT WASHINGTON, NY 11050

Nassau County (516) 767-3658

DR. PAUL DOMINIC VERDI DDS

Dentist (General Practice)

14 VANDERVENTER AVE, SUITE 140
PORT WASHINGTON, NY 11050

Nassau County (516) 767-3353

LONG ISLAND ORAL & MAXILLOFACIAL SURGERY, PC

Dentist (Oral and Maxillofacial Surgery)

14 VANDERVENTER AVE, STE 260
PORT WASHINGTON, NY 11050

Nassau County (516) 944-8330

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 Susan Jacob's NPI number?

The NPI number for Susan Jacob is 1467675819. It was assigned to this individual provider in the NPPES registry on April 11, 2007. The provider is also known as Susan Vivian Jakob Doctorate.

Where is Susan Jacob located?

Susan Jacob practices at 14 Vanderventer Ave, Port Washington, NY 11050. The listed phone number is (516) 944-3786.

What is Susan Jacob's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

When was this NPI record last updated?

The NPPES record for Susan Jacob was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.