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DR. AMY MARGARET JACOBSEN PH.D.
NPI 1669662698
Psychologist - Cognitive & Behavioral in Overland Park, KS

Active since July 26, 2007Opted out of Medicare · through Feb 1, 2027
8400 W. 110TH STREET, SUITE 610, OVERLAND PARK, KS 66210(913) 631-3800(913) 948-7317 Get Directions Write a Review

NPPES record last updated: June 1, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Amy Margaret Jacobsen Ph.d. NPPES

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

DR. AMY MARGARET JACOBSEN PH.D. (NPI 1669662698) is an individual cognitive & behavioral provider in Overland Park, Kansas, licensed in Kansas (LP1667) and active in the NPI registry since July 2007. She has opted out of Medicare through February 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1669662698
Entity TypeIndividualFemale
Primary Taxonomy103TB0200X
Provider Legal NameDR. AMY MARGARET JACOBSENCredential: PH.D.
Location Address8400 W. 110TH STREET, SUITE 610Overland Park, KS 66210
Mailing Address8400 W. 110th Street, Suite 610Overland Park, KS 66210 · (913) 631-3800 · Fax (913) 948-7317
Phone(913) 631-3800
Fax(913) 948-7317
Sole ProprietorYes
Enumeration DateJuly 26, 2007
Last NPPES UpdateJune 1, 2015
✔ NPI 1669662698 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Cognitive & BehavioralBehavioral Health & Social Service Providers
Taxonomy Code103TB0200X
License✔ Licensed in KS · LP1667
Definition
A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking.
8400 W. 110TH STREET, Overland Park, KS 66210
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Other Names 1

Former Name (1)Dr. Amy M Brown Ph.d.

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. Amy Margaret Jacobsen Ph.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 February 1, 2011 through February 1, 2027.

Opt-Out Effective DateFebruary 1, 2011
Opt-Out In Effect ThroughFebruary 1, 2027Opt-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.

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 Amy Jacobsen's NPI number?

The NPI number for Amy Jacobsen is 1669662698. It was assigned to this individual provider in the NPPES registry on July 26, 2007. The provider is also known as Dr. Amy M Brown Ph.D..

Where is Amy Jacobsen located?

Amy Jacobsen practices at 8400 W. 110th Street Suite 610, Overland Park, KS 66210. The listed phone number is (913) 631-3800.

What is Amy Jacobsen's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Cognitive & Behavioral, with taxonomy code 103TB0200X.

Is Amy Jacobsen enrolled in Medicare?

No. Amy Jacobsen has opted out of Medicare through February 1, 2027. 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 Amy Jacobsen was last updated on June 1, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.