DR. DENNIS JOSEPH JACOBS PH.D.
NPI 1962414193
Psychologist in West Bloomfield, MI

Active since August 13, 2006PECOS Enrolled
5745 W MAPLE RD, SUITE 204, WEST BLOOMFIELD, MI 48322(248) 626-4611 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Dennis Joseph Jacobs Ph.d. NPPES

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

DR. DENNIS JOSEPH JACOBS PH.D. (NPI 1962414193) is an individual psychologist in West Bloomfield, Michigan, licensed in Michigan (098928) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962414193
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. DENNIS JOSEPH JACOBSCredential: PH.D.
Location Address5745 W MAPLE RD, SUITE 204West Bloomfield, MI 48322-4468
Mailing Address5745 W Maple Rd, Suite 204West Bloomfield, MI 48322-4468 · (248) 626-4611
Sole ProprietorNo
Enumeration DateAugust 13, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1962414193 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 MI · 098928
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.
5745 W MAPLE RD, West Bloomfield, MI 48322

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Dennis Joseph Jacobs Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Dennis Jacobs reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Psychologist
74 W LONG LAKE RD, SUITE 104
Bloomfield Hills, MI 48304
  • Reassigned Medicare billing, Michigan enrollment
  • 6 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Social Worker (Clinical)
5745 W MAPLE RD, SUITE 213
WEST BLOOMFIELD, MI 48322
Psychologist (Clinical)
5745 W MAPLE RD, STE #218
WEST BLOOMFIELD, MI 48322
Social Worker (Clinical)
5745 W MAPLE RD, SUITE 215
WEST BLOOMFIELD, MI 48322
Counselor (Mental Health)
5745 W MAPLE RD
WEST BLOOMFIELD, MI 48322

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 Dennis Jacobs's NPI number?

The NPI number for Dennis Jacobs is 1962414193. It was assigned to this individual provider in the NPPES registry on August 13, 2006.

Where is Dennis Jacobs located?

Dennis Jacobs practices at 5745 W Maple Rd Suite 204, West Bloomfield, MI 48322. The listed phone number is (248) 626-4611.

What is Dennis Jacobs's specialty?

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

Is Dennis Jacobs enrolled in Medicare?

Yes. Dennis Jacobs is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Dennis Jacobs's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dennis Jacobs reassigns Medicare benefits to Affiliated Psychologists Of Michigan, P.C. (Bloomfield Hills, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Dennis Jacobs's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dennis Jacobs accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company, Priority Health and UnitedHealthcare list Dennis Jacobs as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dennis Jacobs was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.