MARK JACOBSON (NPI# 1528480944) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528480944 |
| Entity Type | Individual |
| Full Name | MARK JACOBSON |
| Credential | M.A. |
| Practice Address |
234 1/2 Washington Ave Grand Haven MI 49417-3307 |
| Mailing Address |
518 Adams St Grand Haven MI 49417-1029 |
| Practice Telephone | 6166074476 |
| Mailing Telephone | 6169905556 |
| Enumeration Date | 2014-01-21 |
| Last Update Date | 2014-01-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 6301007693 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841643178 | Mark Jacobson | Counselor | 3170 N Federal Hwy Ste 206e, Lighthouse Point, FL 33064-6720 | 2016-07-21 |
| 1326375437 | Mark S Jacobson | Dentist | 800 Rose St Rm D632, Lexington, KY 40536-0297 | 2009-11-10 |
| 1801935531 | Mark J Jacobson | Social Worker | 1677 Eureka Rd Ste 203, Roseville, CA 95661-3039 | 2007-02-06 |
| 1770509002 | Mark Edwin Jacobson | Ophthalmology | 1260 N Dutton Ave Ste 160, Santa Rosa, CA 95401-7139 | 2006-07-13 |
| 1124059076 | Mark C. Jacobson | Allergy & Immunology | 911 N Elm St Ste 300, Hinsdale, IL 60521-3642 | 2006-07-06 |
| 1306894423 | Mark David Jacobson | Radiology | 769 Highway 466, Lady Lake, FL 32159-6340 | 2006-05-04 |
| 1831178318 | Mark I Jacobson | Pathology | 560 White Plains Rd Fl 6, Tarrytown, NY 10591-5113 | 2006-01-12 |
| 1053561449 | Mark Edward Jacobson | Orthopaedic Surgery | 370 N 120th Ave, Holland, MI 49424-2196 | 2008-09-23 |
| 1760551915 | Mark David Jacobson | Orthopaedic Surgery | 5555 Reservoir Dr Ste 104, San Diego, CA 92120-5198 | 2006-11-06 |
| 1992898100 | Mark E Jacobson | Optometrist | 3409 Jerome Ave, Bronx, NY 10467-1049 | 2006-10-02 |
| Street Address |
234 1/2 WASHINGTON AVE |
| City | GRAND HAVEN |
| State | MI |
| Zip Code | 49417-3307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619215639 | Jill Laura Morell | Counselor | 234 1/2 Washington Ave, Grand Haven, MI 49417-3307 | 2013-01-25 |
| 1154975753 | Sharon Lynn Griswold | Social Worker | 234 1/2 Washington Ave, Grand Haven, MI 49417 | 2019-07-31 |
| 1528528478 | Denise R Leclaire | Psychologist | 234 1/2 Washington Ave, Grand Haven, MI 49417-1375 | 2019-03-25 |
| 1033675244 | Katarina Nicole Koekkoek | Social Worker | 234 1/2 Washington Ave, Grand Haven, MI 49417-1375 | 2019-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295393478 | Compassionate Christian Therapy, LLC | Social Worker | 16989 Robbins Rd, Grand Haven, MI 49417 | 2019-06-03 |
| 1275098501 | Christi Rene Fortenbacher | Massage Therapist | 318 S. Beacon Blvd, Grand Haven, MI 49417 | 2019-01-31 |
| 1518440650 | Jessica Hankins | Physical Therapy Assistant | 15773 Charles Ct, Grand Haven, MI 49417 | 2018-09-14 |
| 1558857466 | Christina Steege | Physical Therapist | 514 Friant St, Grand Haven, MI 49417 | 2018-07-03 |
| 1851822548 | Forefront Dermatology, S.c. | Dermatology | 1600 S Beacon Blvd, Suite 160, Grand Haven, MI 49417 | 2017-03-23 |
| 1982057907 | Jeremyn Duane Wiersma | Counselor | 1703 S. Despelder St., Grand Haven, MI 49417 | 2016-07-14 |
| 1760855225 | Lisa Costello | Dental Hygienist | 326 N. Ferry St, Grand Haven, MI 49417 | 2015-11-05 |
| 1508116088 | Great Lakes Chiropractic Health | Chiropractor | 15 S. Seventh St., Grand Haven, MI 49417 | 2012-09-12 |
| 1508120122 | Jonathan Stewart Rouwhorst | Family Medicine | 15161 Willowwood Ct, Grand Haven, MI 49417 | 2012-06-28 |
| 1104108836 | Employee Assistance Center Fulton | Psychologist | 321 Fulton, Grand Haven, MI 49417 | 2011-09-20 |
| Find all providers in zip 49417 | ||||
| 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 |
|---|---|---|---|---|
| 1255347498 | Cynthia Ann Spielmaker | Psychologist | 1445 Sheldon Street, Harbor Dunes Health Center, Grand Haven, MI 49417 | 2006-07-31 |
| 1386658607 | Parmelee & Associates Psychological Consulting | Psychologist | 321 Fulton St, Grand Haven, MI 49417-1231 | 2006-07-29 |
| 1467727032 | Schantz Psychological Services Pllc | Psychologist | 120 S 5th St, Grand Haven, MI 49417-1410 | 2012-03-15 |
| 1578838132 | Aaron R Schantz | Psychologist | 120 S 5th St, Grand Haven, MI 49417-1410 | 2012-03-15 |
| 1396018214 | Hillari Madison | Psychologist | 321 Fulton St, Grand Haven, MI 49417-1231 | 2012-02-23 |
| 1124103858 | Donald Patrick Moss | Psychologist | 1703 S Despelder, Grand Haven, MI 49417 | 2006-10-25 |
| 1578675609 | Edward Carl Swart | Psychologist | 1703 S Despelder, Grand Haven, MI 49417 | 2006-08-31 |
| 1700998838 | Christine Marie Platt | Psychologist | 1703 S Despelder, Grand Haven, MI 49417 | 2006-08-31 |
| 1063421022 | Pine Rest Christian Mental Health Services | Psychologist | 1445 Sheldon Rd, Harbor Dunes Health Center, Grand Haven, MI 49417-2480 | 2006-08-07 |
| 1003824848 | Megan Auffrey Zambiasi | Psychologist | 1445 Sheldon Rd, Grand Haven, MI 49417-2480 | 2006-08-04 |
| Find all providers in GRAND HAVEN | ||||
| City | GRAND HAVEN |
| Zip Code | 49417 |
Please comment or provide details below to improve the information on MARK JACOBSON.
| 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.