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RACHEL H JACOBS PH.D.
NPI 1801124045
Psychologist - Clinical in Chicago, IL

Active since November 30, 2009Opted out of Medicare · through Dec 7, 2027
561 W DIVERSEY PKWY STE 210A, CHICAGO, IL 60614(773) 830-4725 Get Directions Write a Review

NPPES record last updated: June 30, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Rachel H Jacobs Ph.d. NPPES

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

RACHEL H JACOBS PH.D. (NPI 1801124045) is an individual clinical provider in Chicago, Illinois, licensed in Illinois (071.008392) and active in the NPI registry since November 2009. She has opted out of Medicare through December 7, 2027.

NPPES Registry Identity

NPI1801124045
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameRACHEL H JACOBSCredential: PH.D.
Location Address561 W DIVERSEY PKWY STE 210AChicago, IL 60614-1682
Mailing Address561 W Diversey Pkwy Ste 210aChicago, IL 60614-1682 · (773) 830-4725
Phone(773) 830-4725
Sole ProprietorNo
Enumeration DateNovember 30, 2009
Last NPPES UpdateJune 30, 2020
NPPES CertifiedJune 30, 2020
✔ NPI 1801124045 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 IL · 071.008392
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.
561 W DIVERSEY PKWY STE 210A, Chicago, IL 60614
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Rachel H Jacobs 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 December 7, 2021 through December 7, 2027.

Opt-Out Effective DateDecember 7, 2021
Opt-Out In Effect ThroughDecember 7, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 3

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

ANNA BELLA MCCORMICK LCSW
Social Worker (Clinical)
561 W DIVERSEY PKWY STE 210A
CHICAGO, IL 60614
Cook County (630) 336-3113
MS. ALEXA SERAO LPC
Counselor (Mental Health)
561 W DIVERSEY PKWY STE 210A
CHICAGO, IL 60614
Cook County (630) 336-3113
LILY CENTER CHICAGO PLLC
Clinic/Center (Adult Mental Health)
561 W DIVERSEY PKWY STE 210A
CHICAGO, IL 60614
Cook County (630) 336-3113

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 Rachel Jacobs's NPI number?

The NPI number for Rachel Jacobs is 1801124045. It was assigned to this individual provider in the NPPES registry on November 30, 2009.

Where is Rachel Jacobs located?

Rachel Jacobs practices at 561 W Diversey Pkwy Ste 210A, Chicago, IL 60614. The listed phone number is (773) 830-4725.

What is Rachel Jacobs's specialty?

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

Is Rachel Jacobs enrolled in Medicare?

No. Rachel Jacobs has opted out of Medicare through December 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 Rachel Jacobs was last updated on June 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.