DR. GREGG D JACOBS (NPI# 1326133604) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326133604 |
| Entity Type | Individual |
| Full Name | DR. GREGG D JACOBS |
| Credential | PH.D. |
| Practice Address |
85 Prescott St Worcester MA 01605-2610 |
| Mailing Address |
Po Box 415348 Boston MA 02241-5348 |
| Practice Telephone | 5087934958 |
| Practice Fax Number | 5083348127 |
| Mailing Telephone | 8002258885 |
| Mailing Fax Number | 5083341977 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2017-01-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
4595 | MA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 110023549A | 05 | |
| MA | 0520152 | 05 |
| Street Address |
85 PRESCOTT ST |
| City | WORCESTER |
| State | MA |
| Zip Code | 01605-2610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700874344 | Larry Z. Lockerman | Dentist | 85 Prescott St, Suite 101, Worcester, MA 01605 | 2005-10-07 |
| 1811381437 | Nerhc, Inc | Clinical Nurse Specialist | 85 Prescott St, Suite 101, Worcester, MA 01605-2610 | 2015-03-20 |
| 1881924744 | Catherine Hayes | Nurse Practitioner | 85 Prescott St, 304, Worcester, MA 01605-2610 | 2009-12-28 |
| 1629236617 | Ankur Mukul Parikh | Urology | 85 Prescott St, Suite 403, Worcester, MA 01605-2610 | 2008-05-28 |
| 1568663789 | Josna Adusumilli | Psychiatry & Neurology | 85 Prescott St, Worcester, MA 01605-2610 | 2007-05-29 |
| 1386781706 | Analita L Talaid | Nurse Practitioner | 85 Prescott St, Worcester, MA 01605-2610 | 2007-02-01 |
| 1982713251 | Wayne B Glazier Md PC | Urology | 85 Prescott St, Suite 403, Worcester, MA 01605-2610 | 2006-08-30 |
| 1699885772 | Linda L Dodge | Nurse Practitioner | 85 Prescott St, Suite 304, Worcester, MA 01605-2610 | 2006-08-30 |
| 1770594525 | Nerhc, Inc. | Psychiatry & Neurology | 85 Prescott St, Worcester, MA 01605-2610 | 2006-08-10 |
| 1184671877 | Wayne B Glazier | Urology | 85 Prescott St, Suite 403, Worcester, MA 01605-2610 | 2006-05-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083228340 | Francisca A Bediako | Registered Nurse | Commonwealth Care Alliance, 100 North Parkway-suite # 202, Worcester, MA 01605 | 2020-09-03 |
| 1922660646 | Jenna Patricia Mullarkey | Counselor | Ummmc, Hahnemann Family Health Center, 279 Lincoln Street, Worcester, MA 01605 | 2019-07-02 |
| 1295219293 | Valerie Ann Wedge | Social Worker | 382 Plantation Street, Worcester, MA 01605 | 2018-09-17 |
| 1154800290 | Keri Innis-grant | Counselor | 108 Grove Street, Ste Ll11, Worcester, MA 01605 | 2018-08-09 |
| 1184119463 | Madiinah Namutebi | Registered Nurse | 56 Olga Ave, Worcester, MA 01605 | 2018-06-28 |
| 1841789310 | Ashley Murray | Psychologist | 361 Plantation St., Attn: Forensic Services, Worcester, MA 01605 | 2018-05-09 |
| 1184126419 | Nadia Saforo | Nurse Practitioner | 509 Plantation St Apt 221, Worcester, MA 01605 | 2018-03-02 |
| 1548779044 | Arnold Kamau Thuku | Behavioral Analyst | 55 Erie Ave, Worcester, MA 01605 | 2017-09-27 |
| 1417466483 | Sabine Erica Charles-arbouet | Registered Nurse | 25 Oriol Drive, Worcester, MA 01605 | 2017-09-21 |
| 1548787864 | Alyssa Lynn Champagne | Behavioral Analyst | 19 Judson Rd, Worcester, MA 01605 | 2017-08-28 |
| Find all providers in zip 01605 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659910867 | Tatiana Gray | Psychologist | 8 Housatonic St, Worcester, MA 01606-1618 | 2020-01-06 |
| 1841789310 | Ashley Murray | Psychologist | 361 Plantation St., Attn: Forensic Services, Worcester, MA 01605 | 2018-05-09 |
| 1760830632 | Samantha Anne Minski | Psychologist | 630 Plantation St Fl Street12, Worcester, MA 01605-2038 | 2016-06-01 |
| 1619201704 | Brenda J King | Psychologist | 78 Burncoat Street, Worcester, MA 01605 | 2009-09-23 |
| 1841460730 | University of Massachusetts | Psychologist | 275a Belmont Street, Worcester, MA 01604-1675 | 2008-03-06 |
| 1467508259 | John Michael Madonna Jr. | Psychologist | 469 Chandler Street, Worcester, MA 01602 | 2007-01-26 |
| 1285799965 | Stuart G Fisher | Psychologist | 124 Newton Ave N, Worcester, MA 01609-1404 | 2006-12-24 |
| 1881757136 | John Patrick Terry | Psychologist | Psychiatry & Familey Counseling 52 Cedar Street, Worcester, MA 01609 | 2006-12-18 |
| 1548343742 | Megan Kirby | Psychologist | 21 Cedar St, Worcester, MA 01609 | 2006-10-23 |
| 1881792034 | Donald A Favreau | Psychologist | 35 Adelle Circuit, Worcester, MA 01607-0563 | 2006-09-20 |
| Find all providers in WORCESTER | ||||
Please comment or provide details below to improve the information on DR. GREGG D JACOBS.
| 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.