DIANA JACOBS PHD. LICENSED PSYCHOLOGIST PS (NPI# 1245761188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245761188 |
| Entity Type | Organization |
| Organization Name | DIANA JACOBS PHD. LICENSED PSYCHOLOGIST PS |
| Practice Address |
960 Harris Ave Ste 205 Bellingham WA 98225-7025 |
| Mailing Address |
12 Bellwether Way Ste 220 Bellingham WA 98225-2914 |
| Practice Telephone | 3607347310 |
| Practice Fax Number | 3606478336 |
| Mailing Telephone | 3607347310 |
| Mailing Fax Number | 3606478336 |
| Enumeration Date | 2017-03-22 |
| Last Update Date | 2019-06-03 |
| Authorized Official Name | DIANA JACOBS (OWNER) |
| Authorized Official Telephone | 3607347310 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PY00002516 | WA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | NPI | 1790883353 | 01 |
| Street Address |
960 HARRIS AVE STE 205 |
| City | BELLINGHAM |
| State | WA |
| Zip Code | 98225-7025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578183729 | Family Care Network Pllc | Clinic/Center | 3548 Meridian St, Suite #101-b, Bellingham, WA 98225 | 2020-04-17 |
| 1770129264 | Ariella K Ross | Massage Therapist | 2701 Northwest Avenue, Bellingham, WA 98225 | 2019-11-20 |
| 1467006205 | Family Care Network, Pllc | Family Medicine | 805 W. Orchard Drive, Suite 6, Bellingham, WA 98225 | 2019-07-30 |
| 1487110375 | Rhonda Beth Steel | Massage Therapist | Fairhaven Harbor, 1310 9th Street Penthouse No. 504, Fairhaven/bellingham, WA 98225 | 2019-02-15 |
| 1366915316 | Alexander Knight Acupuncture Inc | Acupuncturist | 12 Bellwether Way, Suite 201, Bellingham, WA 98225 | 2019-01-02 |
| 1902372998 | Northwest Telepsychiatry, Pllc | Psychiatry & Neurology | 114 W. Magnolia St., Suite 505, Bellingham, WA 98225 | 2018-10-17 |
| 1639650336 | Jennifer Sue Cogen | Massage Therapist | 2701 Northwest Ave. (ohana Pacific, Inc.), Bellingham, WA 98225 | 2018-08-22 |
| 1013414036 | Tamara C Dee | Social Worker | 1313 E Maple St Ste 229, Bellingham, WA 98225 | 2018-04-06 |
| 1417468596 | Samantha Grace Smith | Counselor | 920 Harris Avenue, 202-e, Bellingham, WA 98225 | 2017-10-17 |
| 1710406731 | Shalom Maria Shreve | Counselor | 1133 Railroad Ave., Suite 100, Bellingham, WA 98225 | 2017-09-11 |
| Find all providers in zip 98225 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902411366 | Shanna Drinkwine | Psychologist | 1993 Governor Rd, Bellingham, WA 98229-3413 | 2020-09-12 |
| 1295238616 | Camille J O'connor | Psychologist | 3601 Ridgemont Way, Bellingham, WA 98229-2914 | 2018-03-12 |
| 1144732751 | Arete Resources | Psychologist | 114 W Magnolia St Ste 423, Bellingham, WA 98225-4354 | 2017-11-05 |
| 1114462645 | Ariel Larson | Psychologist | 1155 N State St Ste 318, Bellingham, WA 98225-5024 | 2016-12-19 |
| 1821472184 | Deena Rathkamp | Psychologist | 1140 10th St Ste 216, Bellingham, WA 98225-7053 | 2015-07-16 |
| 1144652546 | Dylan A Keenberg | Psychologist | 1106 Harris Ave Ste 302, Bellingham, WA 98225-7002 | 2013-08-07 |
| 1881940872 | Sara White | Psychologist | 1616 Cornwall Ave Ste 103, Bellingham, WA 98225-4642 | 2012-07-27 |
| 1780943142 | Patience Bowles Mcginnis | Psychologist | 1817 D St, Unit 202, Bellingham, WA 98225-3228 | 2012-05-04 |
| 1114102274 | Kristy Anne Kuehfuss | Psychologist | 3617 Tree Farm Ct, Bellingham, WA 98226-1759 | 2008-01-07 |
| 1679690986 | Vince Foster | Psychologist | 800 E. Chestnut St., Bellingham, WA 98225 | 2007-03-23 |
| Find all providers in BELLINGHAM | ||||
| City | BELLINGHAM |
| Zip Code | 98225 |
Please comment or provide details below to improve the information on DIANA JACOBS PHD. LICENSED PSYCHOLOGIST PS.
| 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.