DR. ALLAN MICHAEL JACOBS M.D.
NPI 1649397068
Psychiatry & Neurology - Child & Adolescent Psychiatry in West Hartford, CT

Active since March 22, 2007Opted out of Medicare · through Mar 17, 2028
61 S MAIN ST, SUITE 305, WEST HARTFORD, CT 06107(860) 561-1640 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Allan Michael Jacobs M.d. NPPES

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

DR. ALLAN MICHAEL JACOBS M.D. (NPI 1649397068) is an individual child & adolescent psychiatry provider in West Hartford, Connecticut, licensed in Connecticut (027910) and active in the NPI registry since March 2007. He has opted out of Medicare through March 17, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1649397068
Entity TypeIndividualMale
Primary Taxonomy2084P0804X
Provider Legal NameDR. ALLAN MICHAEL JACOBSCredential: M.D.
Location Address61 S MAIN ST, SUITE 305West Hartford, CT 06107-2486
Mailing Address61 S Main St, Suite 305West Hartford, CT 06107-2486 · (860) 561-1640
Sole ProprietorYes
Enumeration DateMarch 22, 2007
Last NPPES UpdateSeptember 11, 2025
NPI 1649397068 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License Licensed in CT · 027910
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 027910 (CT)
Also ListedPsychiatry & Neurology · Addiction PsychiatryTaxonomy 2084P0802X · License 027910 (CT)
61 S MAIN ST, West Hartford, CT 06107

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. Allan Michael Jacobs M.d. 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 March 17, 2016 through March 17, 2028.

Opt-Out Effective DateMarch 17, 2016
Opt-Out In Effect ThroughMarch 17, 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.

Other Providers at the Same Location NPPES 13

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

Dentist (Periodontics)
61 S MAIN ST, SUITE 301
WEST HARTFORD, CT 06107
Dentist (Periodontics)
61 S MAIN ST
WEST HARTFORD, CT 06107
Clinic/Center (Dental)
61 S MAIN ST, SUITE 301
WEST HARTFORD, CT 06107
Social Worker (Clinical)
61 S MAIN ST
WEST HARTFORD, CT 06107
Dentist
61 S MAIN ST, SUITE 311
WEST HARTFORD, CT 06107
Dermatology
61 S MAIN ST, SUITE 309
WEST HARTFORD, CT 06107
Internal Medicine
61 S MAIN ST, 202
WEST HARTFORD, CT 06107
Nurse Practitioner (Adult Health)
61 S MAIN ST
WEST HARTFORD, CT 06107

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 Allan Jacobs's NPI number?

The NPI number for Allan Jacobs is 1649397068. It was assigned to this individual provider in the NPPES registry on March 22, 2007.

Where is Allan Jacobs located?

Allan Jacobs practices at 61 S Main St Suite 305, West Hartford, CT 06107. The listed phone number is (860) 561-1640.

What is Allan Jacobs's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Allan Jacobs enrolled in Medicare?

No. Allan Jacobs has opted out of Medicare through March 17, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Allan Jacobs was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.