DR. STEPHANIE JACOBS (NPI# 1487985396) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487985396 |
| Entity Type | Individual |
| Full Name | DR. STEPHANIE JACOBS |
| Credential | PH.D. |
| Practice Address |
1140 E Ocean Blvd Unit 124 Long Beach CA 90802 |
| Mailing Address |
1140 E Ocean Blvd Unit 124 Long Beach CA 90802-5662 |
| Practice Telephone | 3233264606 |
| Mailing Telephone | 3233264606 |
| Enumeration Date | 2010-01-18 |
| Last Update Date | 2018-07-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 2135 | KS | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134633795 | Stephanie Jacobs | Massage Therapist | 5195 Main St, Williamsville, NY 14221-5385 | 2017-11-18 |
| 1740791086 | Stephanie L Jacobs | Registered Nurse | 4911 7th Pl Ne, Washington, DC 20017-2328 | 2017-10-13 |
| 1639298441 | Stephanie B Jacobs | Nurse Practitioner | 720 Penn Ave, Pittsburgh, PA 15221-2217 | 2007-03-29 |
| 1497314496 | Stephanie Jacobs | Social Worker | 1111 E End Blvd, Wilkes Barre, PA 18711-0030 | 2019-06-12 |
| 1033681770 | Stephanie Erin Jacobs | Case Manager/Care Coordinator | 2621 Victory Pkwy, Cincinnati, OH 45206-1754 | 2018-12-19 |
| 1760978985 | Stephanie Marion Jacobs | Counselor | 325 Illinois Rt 2, Dixon, IL 61021-9118 | 2018-07-11 |
| 1942557699 | Stephanie Jacobs | Behavioral Analyst | 9755 Lincoln Village Dr, Sacramento, CA 95827-3334 | 2012-08-13 |
| 1982983573 | Stephanie Jacobs | Counselor | 1 N Broadway, White Plains, NY 10601-2310 | 2011-08-12 |
| 1689989030 | Stephanie Joy Jacobs | Social Worker | 189 Storrs Rd, Mansfield Center, CT 06250-1683 | 2010-08-10 |
| 1699093666 | Stephanie Adele Jacobs | Obstetrics & Gynecology | 6569 North Charles Street, Ppw 307, Baltimore, MD 21204 | 2010-05-14 |
| Street Address |
1140 E OCEAN BLVD UNIT 124 |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255981791 | Nena Danieles Meador | Technician | 505 West 5th St. Unit 201, Long Beach, CA 90802 | 2019-09-17 |
| 1881241487 | Edward De La Cruz | Technician | 425 E 3rd St., 413, Long Beach, CA 90802 | 2019-08-20 |
| 1992350094 | Kaitlyn May Saephan | Student in an Organized Health Care Education/Training Program | 200 Pine Avenue, Suite 400, Long Beach, CA 90802 | 2019-08-06 |
| 1073175881 | David Coleman | Counselor | 735 West 4th St, Unit D, Long Beach, CA 90802 | 2019-07-01 |
| 1235612193 | Linda Nyagaya | Nurse Practitioner | 200 Oceangate, Suite 100 Long Beach, Ca 90802, Long Beach, CA 90802 | 2018-09-06 |
| 1669998670 | Jessica Huerta | Student in an Organized Health Care Education/Training Program | 456 Elm, Long Beach, CA 90802 | 2017-08-22 |
| 1316462484 | Kathlyn Pearl Parlet | Counselor | 351 E. 6th. Street, Long Beach, CA 90802 | 2017-08-09 |
| 1386168136 | Shena Young | Psychologist | 404 East First St #1191, Long Beach, CA 90802 | 2017-08-02 |
| 1215472758 | Vanessa Pons | Marriage & Family Therapist | 735 W 4th St Unit A, Long Beach, CA 90802 | 2016-12-19 |
| 1821459330 | Surabhi Shah | Occupational Therapist | 330 Golden Shores, Suite 250, Long Beach, CA 90802 | 2016-03-10 |
| Find all providers in zip 90802 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275147316 | Molly Tucker | Psychologist | 536 Linden Ave Apt 403, Long Beach, CA 90802-2448 | 2020-09-05 |
| 1689158719 | Elizabeth Anne Mulherron | Psychologist | 1439 Cedar Ave Apt 1, Long Beach, CA 90813-1731 | 2018-09-25 |
| 1861893141 | Juliana Larossa-dzerens | Psychologist | 60 Franklin Blvd, Unit A, Long Beach, NY 11561-4530 | 2014-09-05 |
| 1457783862 | Gretchen Louise Sholty | Psychologist | 5901 E. 7th St (06/116b), Long Beach, CA 90822 | 2013-08-08 |
| 1366749699 | Jennifer Lee Rousch | Psychologist | 5500 E Atherton St Ste 310, Long Beach, CA 90815-4022 | 2011-02-23 |
| 1710155171 | Mark H Michaels | Psychologist | 110 Pine Ave., #1070, Long Beach, CA 90802 | 2008-02-19 |
| 1689850927 | Vonda Loretta Pelto | Psychologist | 3310 El Dorado Dr, Long Beach, CA 90808 | 2008-01-17 |
| 1972797660 | Lateefh Wielenga | Psychologist | 3531 Julian Ave, Long Beach, CA 90808-3111 | 2007-09-05 |
| 1578765020 | Leah Sharon Levenson | Psychologist | 6120 Beatline Rd, Long Beach, MS 39560-2509 | 2007-06-05 |
| 1952503617 | Vonda L. Pelto, Ph.d. | Psychologist | 3310 N El Dorado Dr, Long Beach, CA 90808-3235 | 2007-06-04 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90802 |
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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.