CORAL JACOBSON (NPI# 1316300387) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
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 |
Street Address |
1106 N 155TH ST STE B |
City | BASEHOR |
State | KS |
Zip Code | 66007-7100 |
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 |
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 Code | 103TF0000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Family |
Definition to come... |
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 |
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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.