DR. LAWRENCE DAVID JACOBSON PH.D.
NPI 1922033893
Psychologist in New York, NY

Active since July 11, 2006PECOS EnrolledAccepts Medicare Assignment
30 E 20TH ST, SUITE 5F, NEW YORK, NY 10003(212) 533-5316(212) 533-5316 Get Directions Write a Review

NPPES record last updated: December 6, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Lawrence David Jacobson Ph.d. NPPES

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

DR. LAWRENCE DAVID JACOBSON PH.D. (NPI 1922033893) is an individual psychologist in New York, New York, licensed in New York (PSY8947) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1985).

NPPES Registry Identity

NPI1922033893
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. LAWRENCE DAVID JACOBSONCredential: PH.D.
Location Address30 E 20TH ST, SUITE 5FNew York, NY 10003-1310
Mailing Address30 E 20th St, Suite 5fNew York, NY 10003-1310 · (212) 533-5316 · Fax (212) 533-5316
Fax(212) 533-5316
Sole ProprietorYes
Medical School CMSOtherGraduated 1985
Enumeration DateJuly 11, 2006
Last NPPES UpdateDecember 6, 2014
NPI 1922033893 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in NY · PSY8947
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
30 E 20TH ST, New York, NY 10003

Other Identifiers 1

Medicare ID-Type UnspecifiedV68341NY

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. Lawrence David Jacobson Ph.d. 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 ID3870653470
PECOS Enrollment IDI20081126000273
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.

Other Providers at the Same Location NPPES 9

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

Psychologist (Clinical)
30 E 20TH ST, SUITE 5F
NEW YORK, NY 10003
Social Worker
30 E 20TH ST
NEW YORK, NY 10003
Counselor (Mental Health)
30 E 20TH ST
NEW YORK, NY 10003
Social Worker (Clinical)
30 E 20TH ST, SUITE 5F
NEW YORK, NY 10003
Psychologist (Clinical)
30 E 20TH ST, SUITE 5RW
NEW YORK, NY 10003
Counselor (Mental Health)
30 E 20TH ST, SUITE 5 RW
NEW YORK, NY 10003
Counselor (Mental Health)
30 E 20TH ST, SUITE 5F
NEW YORK, NY 10003
Acupuncturist
30 E 20TH ST, SUITE 5RW
NEW YORK, NY 10003

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 Lawrence Jacobson's NPI number?

The NPI number for Lawrence Jacobson is 1922033893. It was assigned to this individual provider in the NPPES registry on July 11, 2006.

Where is Lawrence Jacobson located?

Lawrence Jacobson practices at 30 E 20th St Suite 5F, New York, NY 10003. The listed phone number is (212) 533-5316.

What is Lawrence Jacobson's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Lawrence Jacobson enrolled in Medicare?

Yes. Lawrence Jacobson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Lawrence Jacobson was last updated on December 6, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.