PROF. JILL BERGER JACOBSON
NPI 1780274977
Psychologist - School in College Park, MD

Active since January 21, 2021Opted out of Medicare · through Jul 7, 2027
3208 BENJAMIN BUILDING, COLLEGE PARK, MD 20742(301) 405-0687 Get Directions Write a Review

NPPES record last updated: January 21, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Prof. Jill Berger Jacobson NPPES

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

PROF. JILL BERGER JACOBSON (NPI 1780274977) is an individual school provider in College Park, Maryland and active in the NPI registry since January 2021. She has opted out of Medicare through July 7, 2027.

NPPES Registry Identity

NPI1780274977
Entity TypeIndividualFemale
Primary Taxonomy103TS0200X
Provider Legal NamePROF. JILL BERGER JACOBSON
Location Address3208 BENJAMIN BUILDINGCollege Park, MD 20742-1108
Mailing Address12729 Lincolnshire DrPotomac, MD 20854-2364 · (757) 621-5621
Sole ProprietorNo
Enumeration DateJanuary 21, 2021
NPPES CertifiedJanuary 21, 2021
NPI 1780274977 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · SchoolBehavioral Health & Social Service Providers
Taxonomy Code103TS0200X
Definition
A psychologist whose specialty is concerned with the science and practice of psychology with children, youth, families; learners of all ages; and the schooling process. The basic education and training of school psychologists prepares them to provide a range of psychological diagnosis, assessment, intervention, prevention, health promotion, and program development and evaluation services with a special focus on the developmental processes of children and youth within the context of schools, families and other systems. School psychologists are prepared to intervene at the individual and system level, and develop, implement, and evaluate preventive programs. In these efforts, they conduct ecologically valid assessments and intervene to promote positive learning environments within which children and youth from diverse backgrounds to ensure that all have equal access to effective educational and psychological services that promote healthy development
3208 BENJAMIN BUILDING, College Park, MD 20742

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Prof. Jill Berger Jacobson 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 July 7, 2025 through July 7, 2027.

Opt-Out Effective DateJuly 7, 2025
Opt-Out In Effect ThroughJuly 7, 2027Opt-out affidavits renew automatically every two years unless cancelled

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 Jill Jacobson's NPI number?

The NPI number for Jill Jacobson is 1780274977. It was assigned to this individual provider in the NPPES registry on January 21, 2021.

Where is Jill Jacobson located?

Jill Jacobson practices at 3208 Benjamin Building, College Park, MD 20742. The listed phone number is (301) 405-0687.

What is Jill Jacobson's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in School, with taxonomy code 103TS0200X.

Is Jill Jacobson enrolled in Medicare?

No. Jill Jacobson has opted out of Medicare through July 7, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Jill Jacobson was last updated on January 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.