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

NPI Status: Active since July 26, 2007

Contact Information

8400 W. 110TH STREET
SUITE 610
OVERLAND PARK, KS
ZIP 66210
Phone: (913) 631-3800
Fax: (913) 948-7317

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  • Individual
  • Female
  • Psychologist
  • Cognitive & Behavioral
  • PECOS Enrolled
  • Opted-Out Medicare

About AMY JACOBSEN

This page provides the complete NPI Profile along with additional information for Amy Jacobsen, a provider established in Overland Park, Kansas with a medical specialization in Psychologist, focusing in cognitive & behavioral . The healthcare provider is registered in the NPI registry with number 1669662698 assigned on July 2007. The practitioner's primary taxonomy code is 103TB0200X with license number LP1667 (KS). The provider is registered as an individual and her NPI record was last updated 11 years ago.

NPI
1669662698
Provider Name
DR. AMY MARGARET JACOBSEN PH.D.
Other Name
DR. AMY M BROWN PH.D.
Other Name Type
Former Name (1)
Gender
Female
Entity Type
Individual
Location Address
8400 W. 110TH STREET SUITE 610 OVERLAND PARK, KS 66210
Location Phone
(913) 631-3800
Location Fax
(913) 948-7317
Mailing Address
8400 W. 110TH STREET SUITE 610 OVERLAND PARK, KS 66210
Mailing Phone
(913) 631-3800
Mailing Fax
(913) 948-7317
Is Sole Proprietor?
Yes
Enumeration Date
07-26-2007
Last Update Date
06-01-2015
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The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Amy Jacobsen opted out of Medicare effective on 02-01-2011 until 02-01-2027. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychologist Cognitive & Behavioral

Taxonomy Code
103TB0200X
Type
Behavioral Health & Social Service Providers
License No.
LP1667
License State
KS
Taxonomy Description
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.

Medicare Participation & PECOS Enrollment Status

Amy Jacobsen is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Opted-Out of Medicare? Yes

  • Opt-Out Effective Date: 02-01-2011

  • Opt-Out End Date: 02-01-2027

  • Eligible to Order and Refer? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1669662698, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 72. The final step is to find the difference between that total and the next multiple of ten (80 - 72 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
9
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
6
Unchanged
Pos 7
2
Doubled → 4
Pos 8
6
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
8
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 6 → 12 → 3 2 → 4 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 1 + 2 + 9 + 1 + 2 + 6 + 4 + 6 + 1 + 8 + 24 = 72

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 72 is 80. The difference is the calculated check digit.

80 - 72 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1669662698.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1669662698, enumerated as an "individual" on July 26, 2007.

The provider is located at 8400 W. 110TH STREET SUITE 610 OVERLAND PARK, KS 66210 and the phone number is (913) 631-3800.

Psychologist with taxonomy code 103TB0200X and a focus in Cognitive & Behavioral.