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JOHN JAMES JACISIN M.D.
NPI 1942301114
Psychiatry & Neurology - Psychiatry in Modesto, CA

Active since September 26, 2006
3425 COFFEE RD, SUITE 2A, MODESTO, CA 95355(209) 524-9401 Get Directions Write a Review

NPPES record last updated: September 3, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About John James Jacisin M.d. NPPES

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

JOHN JAMES JACISIN M.D. (NPI 1942301114) is an individual psychiatry provider in Modesto, California, licensed in California (C39509) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1942301114
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameJOHN JAMES JACISINCredential: M.D.
Location Address3425 COFFEE RD, SUITE 2AModesto, CA 95355-1582
Mailing Address600 Coffee RdModesto, CA 95355-4201 · (209) 521-6097
Phone(209) 524-9401
Sole ProprietorNo
Enumeration DateSeptember 26, 2006
Last NPPES UpdateSeptember 3, 2013
✔ NPI 1942301114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in CA · C39509
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
3425 COFFEE RD, Modesto, CA 95355
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Other Identifiers 1

Medicare PINZZZ1845ZCA

Other Providers at the Same Location NPPES 19

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

MARK ELLIS LITYNSKY PH.D.
Psychologist (Clinical)
3425 COFFEE RD, SUITE 2A
MODESTO, CA 95355
Stanislaus County (209) 524-9401
LINDSAY MARIE CUNHA PSY.D.
Psychologist (Clinical)
3425 COFFEE RD, SUITE 2A
MODESTO, CA 95355
Stanislaus County (209) 524-9402
HEALE, A PROFESSIONAL LICENSED CLINICAL SOCIAL WORK CORPORATION
Clinic/Center (Mental Health (Including Community Mental Health Center))
3425 COFFEE RD
MODESTO, CA 95355
Stanislaus County (209) 567-2259
MS. LYNNETTE F. TRIPP N.P.
Nurse Practitioner (Psychiatric/Mental Health)
3425 COFFEE RD, SUITE 2A
MODESTO, CA 95355
Stanislaus County (209) 524-9401
MS. SANDRA L. SNYDER M.F.T.
Marriage & Family Therapist
3425 COFFEE RD, SUITE 2A
MODESTO, CA 95355
Stanislaus County (209) 524-9401
BRENDA RAMIREZ
Counselor (Professional)
3425 COFFEE RD
MODESTO, CA 95355
Stanislaus County (209) 522-9568
SHANNON NOBLES
Marriage & Family Therapist
3425 COFFEE RD
MODESTO, CA 95355
Stanislaus County (209) 524-9401
MICHAEL SCOTT THOMAS PH.D.
Psychologist (Clinical)
3425 COFFEE RD, SUITE 2A
MODESTO, CA 95355
Stanislaus County (209) 524-9402

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 John Jacisin's NPI number?

The NPI number for John Jacisin is 1942301114. It was assigned to this individual provider in the NPPES registry on September 26, 2006.

Where is John Jacisin located?

John Jacisin practices at 3425 Coffee Rd Suite 2A, Modesto, CA 95355. The listed phone number is (209) 524-9401.

What is John Jacisin's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

When was this NPI record last updated?

The NPPES record for John Jacisin was last updated on September 3, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.