AMY MARIE JACOBS (NPI# 1154303659) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154303659 |
| Entity Type | Individual |
| Full Name | AMY MARIE JACOBS |
| Credential | LMLP LCP |
| Practice Address |
9333 East 21st St., North Wichita KS 67206-2927 |
| Practice Telephone | 3166344700 |
| Practice Fax Number | 3166344770 |
| Mailing Telephone | 3166344700 |
| Mailing Fax Number | 3166344770 |
| Enumeration Date | 2005-11-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
0345 | KS | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215406863 | Amy Jacobs | Clinic/Center | 2 E 40th St, Paterson, NJ 07514-1108 | 2018-11-13 |
| 1427411305 | Amy Jacobs | Occupational Therapist | 10293 S Saginaw Rd, Holly, MI 48442 | 2016-03-30 |
| 1144611658 | Amy Jacobs | Registered Nurse | 223 Quaw Ave, Edgar, WI 54426-9315 | 2015-02-05 |
| 1316172018 | Amy Lynn Jacobs | Pharmacist | 117 N Mission St, Mount Pleasant, MI 48858-1819 | 2009-05-25 |
| 1003936097 | Amy Jacobs | Social Worker | 6185 Huntley Rd, Suite L, Columbus, OH 43229-1093 | 2007-03-31 |
| 1316095714 | Amy Lee Jacobs | Social Worker | 127 West State St, Ithaca, NY 14850-5474 | 2007-01-08 |
| 1376607382 | Amy Stonicher Jacobs | Physical Therapist | 5926 Us Highway 431, Albertville, AL 35950-2008 | 2006-12-21 |
| 1518020197 | Amy E Jacobs | Social Worker | 1 Greystone Road, Carlisle, PA 17013-2660 | 2006-12-18 |
| 1104916667 | Amy Johnson Jacobs | Pharmacist | #1 Hidden Creek Drive, Guyton, GA 31312 | 2006-10-13 |
| 1487253100 | Amy Jacobs | Case Manager/Care Coordinator | 1333 Common St, Lake Charles, LA 70601-5255 | 2020-10-23 |
| Street Address |
9333 EAST 21ST ST., NORTH |
| City | WICHITA |
| State | KS |
| Zip Code | 67206-2927 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760020846 | Founders Surgery Center, LLC | Clinic/Center | 1961 N Founders Circle, Wichita, KS 67206 | 2019-12-19 |
| 1174006613 | Courtney Dawn Simon | Physical Therapist | 9360 E Central Ave Ste 100, Wichita, KS 67206 | 2018-09-11 |
| 1902308919 | Center At Waterfront LLC | Skilled Nursing Facility | 1541 North Lindberg Circle, Wichita, KS 67206 | 2018-03-06 |
| 1750804597 | Katelyn Aguiar | Psychologist | 250 N Rock Rd Ste 210, Wichita, KS 67206 | 2017-07-24 |
| 1457888778 | Mona Kay Cherryholmes | Social Worker | 1223 N. Rock Rd, Bldg A. Suite 100, Wichita, KS 67206 | 2017-05-17 |
| 1164899415 | Elizabeth Herl | Marriage & Family Therapist | 250 N Rock Rd Ste 150, Wichita, KS 67206 | 2015-08-21 |
| 1851715510 | Ndjj Corp | Custodial Care Facility | 6403 E Marjore, Wichita, KS 67206 | 2014-02-14 |
| 1801238217 | Courtney Ann Lang | Physical Therapist | 1603 North Chapel Hill Street, Suite 400, Wichita, KS 67206 | 2013-07-26 |
| 1194063032 | Peak Performance Health Pa | Chiropractor | 10111 E 21st St, #106, Wichita, KS 67206 | 2013-01-28 |
| 1750629002 | Rachel Marie Conrad | Speech-Language Pathologist | 1861 N. Rock Rd, Ste 101, Wichita, KS 67206 | 2013-01-22 |
| Find all providers in zip 67206 | ||||
| Taxonomy Code | 103TB0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Cognitive & Behavioral |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245278134 | Firststarr Rehabilitation & Behavioral Health, LLC | Psychologist | 4402 E Central Ave, Wichita, KS 67208-3912 | 2006-06-03 |
| 1023072436 | John Leenay | Psychologist | 727 N Waco Ave Ste 210, Wichita, KS 67203-3953 | 2006-04-13 |
| 1316920473 | Stephen L Benson | Psychologist | 833 N Waco, Ste 200, Wichita, KS 67203-3939 | 2005-11-22 |
| 1437132503 | Frederick H Volweider | Psychologist | 1900 N Amidon, Ste 200, Wichita, KS 67203-2125 | 2005-11-22 |
| 1407839574 | James D Wright | Psychologist | 9333 East 21st St., Newton, Wichita, KS 67206-2927 | 2005-11-22 |
| 1841272341 | Dee Ann Cramer | Psychologist | 10222 W Central Ave, Suite 202, Wichita, KS 67212-4613 | 2005-11-18 |
| 1790767291 | Darwin Dorr | Psychologist | 9333 East 21st St, North, Wichita, KS 67206-2927 | 2005-11-18 |
| 1942774286 | Margaret Kathleen Phillips | Psychologist | 1855 N Webb Rd, Wichita, KS 67206-3413 | 2019-01-21 |
| 1629331574 | Andrea Catherine Reed | Psychologist | 7570 W 21st St N Ste 1026d, Wichita, KS 67205-1764 | 2012-06-15 |
| 1316179666 | Keith Karl Buhr | Psychologist | 7570 W 21st St N Ste 1026d, Wichita, KS 67205-1764 | 2009-08-20 |
| Find all providers in WICHITA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.