SAMANTHA JACOBSON PSYD - NPI 1912849860 - Clinical Neuropsychologist in Prescott Valley, AZ

Q: What is Samantha Jacobson's NPI number?

The NPI number for Samantha Jacobson is 1912849860. It was assigned to this individual provider in the NPPES registry on April 8, 2026.

Q: What is Samantha Jacobson's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Q: When was this NPI record last updated?

The NPPES record for Samantha Jacobson was last updated on April 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.

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About Samantha Jacobson Psyd NPPES

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

SAMANTHA JACOBSON PSYD (NPI 1912849860) is an individual clinical neuropsychologist in Prescott Valley, Arizona, licensed in Arizona (005707) and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1912849860

Entity TypeIndividualFemale

Primary Taxonomy103G00000X

Provider Legal NameSAMANTHA JACOBSONCredential: PSYD

Location Address8652 E EASTRIDGE RD STE 201Prescott Valley, AZ 86314-9464

Mailing Address3256 W Huntington DrPhoenix, AZ 85041-4339

Phone(928) 830-2410

Sole ProprietorYes

Enumeration DateApril 8, 2026

NPPES CertifiedApril 8, 2026

✔ NPI 1912849860 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers

Taxonomy Code103G00000X

License✔ Licensed in AZ · 005707

Definition

A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

Also ListedPsychologist · Cognitive & BehavioralTaxonomy 103TB0200X · License 005707 (AZ)

Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 005507 (AZ)

8652 E EASTRIDGE RD STE 201, Prescott Valley, AZ 86314

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Other Providers at the Same Location NPPES 2

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

DR. ANDREA ANNIBALE PSYD

Psychologist

8652 E EASTRIDGE RD STE 201
PRESCOTT VALLEY, AZ 86314

Yavapai County (928) 830-2410

ONE PSYCHOLOGICAL SERVICES

Psychologist

8652 E EASTRIDGE RD STE 201
PRESCOTT VALLEY, AZ 86314

Yavapai County (928) 830-2410

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 Samantha Jacobson's NPI number?

The NPI number for Samantha Jacobson is 1912849860. It was assigned to this individual provider in the NPPES registry on April 8, 2026.

Where is Samantha Jacobson located?

Samantha Jacobson practices at 8652 E Eastridge Rd Ste 201, Prescott Valley, AZ 86314. The listed phone number is (928) 830-2410.

What is Samantha Jacobson's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

When was this NPI record last updated?

The NPPES record for Samantha Jacobson was last updated on April 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.