CORAL JACOBSON


Address: 1106 N 155th St Ste B, Basehor, KS 66007-7100
Phone: 9136627071

CORAL JACOBSON (NPI# 1316300387) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1316300387
Entity Type Individual
Full Name CORAL JACOBSON
Practice Address 1106 N 155th St Ste B
Basehor
KS 66007-7100
Practice Telephone 9136627071
Mailing Telephone 9136627071
Enumeration Date 2016-03-29
Last Update Date 2018-10-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TF0000X Psychologist
Specialization: Family
2848 KS Behavioral Health & Social Service Providers
N 171M00000X Case Manager/Care Coordinator Other Service Providers

Office Location

Street Address 1106 N 155TH ST STE B
City BASEHOR
State KS
Zip Code 66007-7100

Providers in the same location

NPI Name Taxonomy Address Enumeration
1770621674 Integrated Behavioral Technologies Inc Psychologist 1106 N 155th St Ste B, Basehor, KS 66007-7100 2007-02-02
1154922367 Alynn Bratkiv Behavioral Analyst 1106 N 155th St Ste B, Basehor, KS 66007-7100 2020-11-04
1174122329 Cacy Larson Behavioral Analyst 1106 N 155th St Ste B, Basehor, KS 66007-7100 2020-10-20
1255930418 Danielle Pruitt Behavioral Analyst 1106 N 155th St Ste B, Basehor, KS 66007-7100 2020-10-20
1669089694 Cristina Pfeiffer Behavioral Analyst 1106 N 155th St Ste B, Basehor, KS 66007-7100 2020-09-24
1639785959 Travis Scheerer Behavioral Analyst 1106 N 155th St Ste B, Basehor, KS 66007-7100 2020-09-22
1952917270 Tiffni Chapman Behavioral Analyst 1106 N 155th St Ste B, Basehor, KS 66007-7100 2020-09-22
1558971507 Alysia Gonzales Behavioral Analyst 1106 N 155th St Ste B, Basehor, KS 66007-7100 2020-08-05
1033729124 Graycee Meyer Behavioral Analyst 1106 N 155th St Ste B, Basehor, KS 66007-7100 2020-08-04
1467062810 Christie Napier Behavioral Analyst 1106 N 155th St Ste B, Basehor, KS 66007-7100 2020-07-31
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1821527243 Catherine Eatherly Case Manager/Care Coordinator 1106 North 155th Street Ste B, Basehor, KS 66007 2017-06-08
1346651312 Anndrina Pooja Mcgill Case Manager/Care Coordinator 1106 N. 155th Street, Suite B, Basehor, KS 66007 2014-05-13
1679911317 Amanda Brown Case Manager/Care Coordinator 1006 North 155th Street, Basehor, KS 66007 2013-06-04
1821221151 Ross Eugene Mccoy Social Worker 21825 155th Street, Basehor, KS 66007 2009-09-03
1992898308 Deborah J Gammill Family Medicine 15604 Pinehurst Drive, Suite 2, Basehor, KS 66007 2006-09-30
1316453699 Kori Staab Behavior Technician 1106 N 155th St, Basehor, KS 66007 2017-12-21
1740708312 Erin Newkirk Case Manager/Care Coordinator 1106 North 155th Street Ste B, Basehor, KS 66007 2017-09-05
1801313994 Ryan Emmitt Case Manager/Care Coordinator 1106 North 155th Street Ste B, Basehor, KS 66007 2017-08-29
1881117596 Keeley Cowley Case Manager/Care Coordinator 1106 North 155th Street Ste B, Basehor, KS 66007 2017-07-25
1306375712 Nicole Thompson Case Manager/Care Coordinator 1106 North 155th Street Ste B, Basehor, KS 66007 2017-06-08
Find all providers in zip 66007

Taxonomy Information

Taxonomy Code 103TF0000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1023623063 Psychdoc LLC Psychologist 5600 W 95th St Ste 216, Overland Park, KS 66207-2968 2020-09-15
1215570965 Chelsey Leclear Psychologist 333 W 15th St, Liberal, KS 67901-2455 2019-10-25
1194283283 Ashley J Cook Psychologist 7500 College Blvd Ste 500, Overland Park, KS 66210-4043 2019-03-07
1801364906 Kathleen I Diaz Psychologist 200 Maine St Ste A, Lawrence, KS 66044-1396 2018-11-06
1619331519 Family Counseling and Psychological Services, LLC Psychologist 6611 E Central Ave, Suite C, Wichita, KS 67206-1937 2016-04-07
1457685158 Martha C Allega Psychologist 10900 W 86th St Ste 150, Lenexa, KS 66214-3608 2009-09-28

Competitor

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City BASEHOR
Zip Code 66007

Improve Information

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Dataset Information

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.

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