JACOB ETHAN SMALL PH.D.
NPI 1528087855
Psychologist in New York, NY

Active since July 18, 2006
286 MADISON AVENUE, SUITE 1602, NEW YORK, NY 10017(917) 704-3761 Get Directions Write a Review

NPPES record last updated: April 29, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacob Ethan Small Ph.d. NPPES

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

JACOB ETHAN SMALL PH.D. (NPI 1528087855) is an individual psychologist in New York, New York, licensed in New York (0156821) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1528087855
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameJACOB ETHAN SMALLCredential: PH.D.
Location Address286 MADISON AVENUE, SUITE 1602New York, NY 10017
Mailing Address286 Madison Avenue, Suite 1602New York, NY 10017 · (917) 704-3761
Sole ProprietorYes
Enumeration DateJuly 18, 2006
Last NPPES UpdateApril 29, 2008
NPI 1528087855 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 NY · 0156821
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.
286 MADISON AVENUE, New York, NY 10017

Other Identifiers 2

Medicaid02567971NY
Medicare UPINVM5781NY

Other Providers at the Same Location NPPES

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

Psychiatry & Neurology (Psychiatry)
286 MADISON AVENUE, PH
NEW YORK, NY 10017

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 Small's NPI number?

The NPI number for Jacob Small is 1528087855. It was assigned to this individual provider in the NPPES registry on July 18, 2006.

Where is Jacob Small located?

Jacob Small practices at 286 Madison Avenue Suite 1602, New York, NY 10017. The listed phone number is (917) 704-3761.

What is Jacob Small's specialty?

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

When was this NPI record last updated?

The NPPES record for Jacob Small was last updated on April 29, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.