RICHARD L JACOBS PSY D
NPI 1922146471
Psychologist in Brookline, MA

Active since February 04, 2007Opted out of Medicare · through Jul 1, 2027
1680A BEACON ST, BROOKLINE, MA 02445(617) 734-5770(617) 734-0964 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Richard L Jacobs Psy D NPPES

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

RICHARD L JACOBS PSY D (NPI 1922146471) is an individual psychologist in Brookline, Massachusetts, licensed in Massachusetts (4089) and active in the NPI registry since February 2007. He has opted out of Medicare through July 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1922146471
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameRICHARD L JACOBSCredential: PSY D
Location Address1680A BEACON STBrookline, MA 02445-2180
Mailing Address1680a Beacon StBrookline, MA 02445-2180 · (617) 734-5770 · Fax (617) 734-0964
Fax(617) 734-0964
Sole ProprietorYes
Enumeration DateFebruary 4, 2007
Last NPPES UpdateSeptember 11, 2025
NPI 1922146471 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in MA · 4089
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.

Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 4089 (MA)

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Richard L Jacobs Psy 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 July 1, 2015 through July 1, 2027.

Opt-Out Effective DateJuly 1, 2015
Opt-Out In Effect ThroughJuly 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 4

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

Counselor (Mental Health)
1680A BEACON ST
BROOKLINE, MA 02445
Psychologist
1680A BEACON ST
BROOKLINE, MA 02445
Counselor (Professional)
1680A BEACON ST
BROOKLINE, MA 02445
Psychiatry & Neurology (Psychiatry)
1680A BEACON ST
BROOKLINE, MA 02445

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 Richard Jacobs's NPI number?

The NPI number for Richard Jacobs is 1922146471. It was assigned to this individual provider in the NPPES registry on February 4, 2007.

Where is Richard Jacobs located?

Richard Jacobs practices at 1680A Beacon St, Brookline, MA 02445. The listed phone number is (617) 734-5770.

What is Richard Jacobs's specialty?

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

Is Richard Jacobs enrolled in Medicare?

No. Richard Jacobs has opted out of Medicare through July 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Richard Jacobs was last updated on September 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.