Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

THERESA JACOBS
NPI 1720454721
Nurse Practitioner - Psychiatric/Mental Health in Canyon Country, CA

Q: What is Theresa Jacobs's NPI number?

The NPI number for Theresa Jacobs is 1720454721. It was assigned to this individual provider in the NPPES registry on August 13, 2015.

Q: What is Theresa Jacobs's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Theresa Jacobs was last updated on August 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days 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.

Active since August 13, 2015

17637 WREN DR, CANYON COUNTRY, CA 91387(818) 485-0888 Get Directions Write a Review

NPPES record last updated: August 26, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Theresa Jacobs NPPES

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

THERESA JACOBS (NPI 1720454721) is an individual psychiatric/mental health provider in Canyon Country, California, licensed in California (95029730) and active in the NPI registry since August 2015.

NPPES Registry Identity

NPI1720454721

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameTHERESA JACOBS

Location Address17637 WREN DRCanyon Country, CA 91387-3826

Mailing Address17637 Wren DrCanyon Country, CA 91387-3826 · (310) 654-0926

Phone(818) 485-0888

Sole ProprietorYes

Enumeration DateAugust 13, 2015

Last NPPES UpdateAugust 26, 2026

NPPES CertifiedAugust 26, 2026

✔ NPI 1720454721 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in CA · 95029730

17637 WREN DR, Canyon Country, CA 91387

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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 Theresa Jacobs's NPI number?

The NPI number for Theresa Jacobs is 1720454721. It was assigned to this individual provider in the NPPES registry on August 13, 2015.

Where is Theresa Jacobs located?

Theresa Jacobs practices at 17637 Wren Dr, Canyon Country, CA 91387. The listed phone number is (818) 485-0888.

What is Theresa Jacobs's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Theresa Jacobs was last updated on August 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days 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.