DR. JAMES HARRIS JACOBS PH.D.
NPI 1568528255
Psychologist in Berkeley, CA

Active since December 28, 2006PECOS EnrolledAccepts Medicare Assignment
1708 SHATTUCK AVENUE #2, BERKELEY, CA 94709(510) 841-6058(510) 527-2422 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. James Harris Jacobs Ph.d. NPPES

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

DR. JAMES HARRIS JACOBS PH.D. (NPI 1568528255) is an individual psychologist in Berkeley, California, licensed in California (PSY 5748) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1977).

NPPES Registry Identity

NPI1568528255
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. JAMES HARRIS JACOBSCredential: PH.D.
Location Address1708 SHATTUCK AVENUE #2Berkeley, CA 94709
Mailing Address1309 Cornell AveBerkeley, CA 94702-1009 · (510) 524-9058 · Fax (510) 527-2422
Fax(510) 527-2422
Sole ProprietorYes
Medical School CMSOtherGraduated 1977
Enumeration DateDecember 28, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1568528255 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 CA · PSY 5748
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.

Other Identifiers 2

Medicare UPIN00PL57480CA
Medicare ID-Type Unspecified00PL57480CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. James Harris Jacobs Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7416124409
PECOS Enrollment IDI20120113000591
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 James Jacobs's NPI number?

The NPI number for James Jacobs is 1568528255. It was assigned to this individual provider in the NPPES registry on December 28, 2006.

Where is James Jacobs located?

James Jacobs practices at 1708 Shattuck Avenue #2, Berkeley, CA 94709. The listed phone number is (510) 841-6058.

What is James Jacobs's specialty?

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

Is James Jacobs enrolled in Medicare?

Yes. James Jacobs is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for James Jacobs 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.