STEPHANIE JACOBS LMHC, PH.D.
NPI 1982983573
Psychologist in White Plains, NY

Active since August 12, 2011Opted out of Medicare · through Sep 3, 2027
1 N BROADWAY, WHITE PLAINS, NY 10601(914) 385-1150 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 17, 2018, Oct 16, 2017 (2 updates tracked since 2017).

About Stephanie Jacobs Lmhc, Ph.d. NPPES

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

STEPHANIE JACOBS LMHC, PH.D. (NPI 1982983573) is an individual psychologist in White Plains, New York, licensed in New York (021934) and active in the NPI registry since August 2011. She has opted out of Medicare through September 3, 2027 and remains eligible to order and refer and maintains a secondary practice location in New York.

NPPES Registry Identity

NPI1982983573
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameSTEPHANIE JACOBSCredential: LMHC, PH.D.
Location Address1 N BROADWAYWhite Plains, NY 10601-2310
Mailing Address1 Gustave L Levy PlNew York, NY 10029-6500 · (212) 659-9299
Sole ProprietorYes
Enumeration DateAugust 12, 2011
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
NPI 1982983573 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 NY · 021934
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 ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 004724 (NY)
1 N BROADWAY, White Plains, NY 10601

Secondary Practice Location 1

Location 11 Gustave L Levy PlNew York, NY 10029-6500 · Phone (212) 659-9299

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Stephanie Jacobs Lmhc, Ph.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 September 3, 2017 through September 3, 2027.

Opt-Out Effective DateSeptember 3, 2017
Opt-Out In Effect ThroughSeptember 3, 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 13

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

Social Worker
1 N BROADWAY, SUITE 912
WHITE PLAINS, NY 10601
Psychologist (Clinical)
1 N BROADWAY, SUITE 704
WHITE PLAINS, NY 10601
Psychologist (Clinical)
1 N BROADWAY, SUITE 704
WHITE PLAINS, NY 10601
Psychologist (Cognitive & Behavioral)
1 N BROADWAY
WHITE PLAINS, NY 10601
Psychologist (Clinical)
1 N BROADWAY, SUITE 704
WHITE PLAINS, NY 10601
Psychologist (Clinical)
1 N BROADWAY
WHITE PLAINS, NY 10601
Social Worker (Clinical)
1 N BROADWAY, SUITE 704
WHITE PLAINS, NY 10601
Psychologist
1 N BROADWAY, SUITE 704
WHITE PLAINS, NY 10601

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 Stephanie Jacobs's NPI number?

The NPI number for Stephanie Jacobs is 1982983573. It was assigned to this individual provider in the NPPES registry on August 12, 2011.

Where is Stephanie Jacobs located?

Stephanie Jacobs practices at 1 N Broadway, White Plains, NY 10601. The listed phone number is (914) 385-1150.

What is Stephanie Jacobs's specialty?

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

Is Stephanie Jacobs enrolled in Medicare?

No. Stephanie Jacobs has opted out of Medicare through September 3, 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 Stephanie Jacobs was last updated on March 17, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.