DR. KRYSTAL JACOB PSYD
NPI 1770726739
Psychologist - Clinical in Arcata, CA

Q: What is Krystal Jacob's NPI number?

The NPI number for Krystal Jacob is 1770726739. It was assigned to this individual provider in the NPPES registry on April 7, 2009.

Q: What is Krystal Jacob's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Krystal Jacob was last updated on January 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since April 07, 2009PECOS EnrolledAccepts Medicare Assignment

381 BAYSIDE RD STE B, ARCATA, CA 95521(707) 616-6147(707) 297-3035 Get Directions Write a Review

NPPES record last updated: January 8, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 8, 2023, Nov 8, 2019, Jul 3, 2018 (3 updates tracked since 2018).

On this page

About Dr. Krystal Jacob Psyd NPPES

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

DR. KRYSTAL JACOB PSYD (NPI 1770726739) is an individual clinical provider in Arcata, California, licensed in California (PSY25790) and active in the NPI registry since April 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1770726739

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. KRYSTAL JACOBCredential: PSYD

Location Address381 BAYSIDE RD STE BArcata, CA 95521-7102

Mailing AddressPo Box 799Arcata, CA 95518-0799 · (707) 616-6147

Phone(707) 616-6147

Fax(707) 297-3035

Sole ProprietorYes

Medical School CMSOtherGraduated 2011

Enumeration DateApril 7, 2009

Last NPPES UpdateJanuary 8, 20233 updates tracked since enumeration

NPPES CertifiedJanuary 8, 2023

✔ NPI 1770726739 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in CA · PSY25790

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

381 BAYSIDE RD STE B, Arcata, CA 95521

Open in Google Maps ↗

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. Krystal Jacob Psyd 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 ID9032467329

PECOS Enrollment IDI20180802001654

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95521 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$176.60 typical visit price

range $58.87 – $176.60

Typical copayment $44.15 (range $14.71 – $44.15)

Most-billed visit code 99205

Established Patient

$103.36 typical visit price

range $19.28 – $144.60

Typical copayment $25.84 (range $4.82 – $36.15)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

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

GINETTE G WALKER

Marriage & Family Therapist