BRUCE KENNETH JACOBSON (NPI# 1679743009) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679743009 |
| Entity Type | Individual |
| Full Name | BRUCE KENNETH JACOBSON |
| Credential | PH.D., P.C. |
| Practice Address |
4190 Highland Dr Suite 211 Salt Lake City UT 84124-2600 |
| Practice Telephone | 8012720614 |
| Mailing Telephone | 8012720614 |
| Enumeration Date | 2008-02-29 |
| Last Update Date | 2018-03-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 450510082 | UT | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912021205 | Bruce M Jacobson | Chiropractor | 1547 Stuyvesant Ave # A, Union, NJ 07083-5341 | 2007-03-19 |
| 1497794069 | Bruce K Jacobson | Surgery | 2251 N Shore Dr, Suite 200, Rhinelander, WI 54501-8360 | 2006-06-06 |
| 1558314971 | Bruce Allen Jacobson | Internal Medicine | 7301 Medical Center Dr, Ste. 404, West Hills, CA 91307-1904 | 2006-05-18 |
| 1760467484 | Bruce Robert Jacobson | Ophthalmology | 36100 Euclid Ave, Suite 450, Willoughby, OH 44094-4456 | 2005-12-15 |
| Street Address |
4190 HIGHLAND DR SUITE 211 |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84124-2600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598742231 | Kathleen Stroman King | Psychologist | 4190 Highland Dr, Suite 210, Salt Lake City, UT 84124-2600 | 2005-12-23 |
| 1740562123 | Michael Bryce Warner | Dentist | 4190 Highland Dr, Salt Lake City, UT 84124-2600 | 2011-09-13 |
| 1417270323 | Douglas Burgoyne | Pharmacist | 4190 Highland Dr, Suite 250, Salt Lake City, UT 84124-2600 | 2010-03-05 |
| 1467678938 | Grant B. Cannon | Dentist | 4190 Highland Dr, Suite 112, Salt Lake City, UT 84124-2600 | 2007-04-17 |
| 1396873279 | Linda C Gurrister | Social Worker | 4190 Highland Dr, Suite 210, Salt Lake City, UT 84124-2600 | 2007-03-01 |
| 1578605143 | Janice Lynn Marcus | Counselor | 4190 Highland Dr, Salt Lake City, UT 84124-2600 | 2007-02-12 |
| 1548329964 | Jeffrey Ralph Grant | Social Worker | 4190 Highland Dr, Suite 210, Salt Lake City, UT 84124-2600 | 2006-12-08 |
| 1578506697 | Jan Ellen Kaderabek Burton | Psychologist | 4190 Highland Dr, Salt Lake City, UT 84124-2600 | 2006-06-14 |
| 1417913575 | Bruce K Jacobson Ph D P C | Clinic/Center | 4190 Highland Dr, Suite 211, Salt Lake City, UT 84124-2600 | 2006-04-26 |
| 1518934744 | Karl E Seashore | Counselor | 4190 Highland Dr, Suite 211, Salt Lake City, UT 84124-2600 | 2006-03-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487273298 | Shannon Penny Price | Social Worker | 4465 Maybeck Place, Condo C, Millcreek, UT 84124 | 2020-04-11 |
| 1922654367 | Joseph C Melvin Md PC | Colon & Rectal Surgery | 1250 East 3900 South Ste 320, Salt Lake City, UT 84124 | 2019-08-12 |
| 1366923252 | Melanie Stumpf | Counselor | 1141 E 3900, Suite A170, Salt Lake City, UT 84124 | 2018-08-28 |
| 1376033993 | Michelle Flowers | Speech-Language Pathologist | 2120 East 3900 South, Ste 200, Holladay, UT 84124 | 2018-05-18 |
| 1740797257 | Lissa Anne Hutchings | Nurse Practitioner | 1160 E 3900 S Ste 4100, Salt Lake City, UT 84124 | 2018-01-05 |
| 1316465693 | Randy Gines | Counselor | 4460 S Highland Drive # 230, Murray, UT 84124 | 2017-09-06 |
| 1417470717 | Joshua Chandler Spencer | Counselor | 4460 South Highland Dr., 230, Murray, UT 84124 | 2017-07-19 |
| 1659891554 | Marcus Whitney | Counselor | 4460 S Highland Dr. # 230, Murray, UT 84124 | 2017-06-21 |
| 1518496884 | Courtney Nilson | Counselor | 4460 S. Highland Dr. #230, Murray, UT 84124 | 2017-06-08 |
| 1841687126 | Intrafilrx | Preferred Provider Organization | 3920 S 1100 E Ste 210, Salt Lake City, UT 84124 | 2015-04-23 |
| Find all providers in zip 84124 | ||||
| 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 |
|---|---|---|---|---|
| 1346857026 | Adam Hanley | Psychologist | 395 S 1500 E, Salt Lake City, UT 84112-8909 | 2020-09-28 |
| 1386111060 | Melissa Marie Dixon | Psychologist | Primary Children's Hospital Outpatient Services, 81 South Mario Capecchi Drive, Salt Lake City, UT 84113 | 2018-10-31 |
| 1184199721 | Aharon D. Shulimson, Ph.d. | Psychologist | 1111 E Brickyard Rd Ste 205, Salt Lake City, UT 84106-2571 | 2018-10-10 |
| 1437666054 | Novum Psychotherapy, PC | Psychologist | 275 E South Temple Ste 150, Salt Lake City, UT 84111-1270 | 2018-01-04 |
| 1952812414 | Lauren Michele Weitzman | Psychologist | 24 S 1100 E Ste 303, Salt Lake City, UT 84102-4307 | 2017-10-23 |
| 1326565300 | James Knorr | Psychologist | 7069 S Highland Dr Ste 5, Salt Lake City, UT 84121-3724 | 2017-08-29 |
| 1043735418 | Christopher M Davids | Psychologist | 439 E 900 S Fl 2, Salt Lake City, UT 84111-4303 | 2017-08-07 |
| 1710416037 | Lori Lynn Dekeyzer | Psychologist | 4568 S Highland Dr Ste 200, Salt Lake City, UT 84117-4235 | 2017-06-08 |
| 1285178459 | Mountain West Evaluation & Therapy Services | Psychologist | 3344 S 1885 E, Salt Lake City, UT 84106-3942 | 2016-12-07 |
| 1194270876 | Gita Rakhsha, Ph.d. LLC | Psychologist | 2046 E Murray Holladay Rd Ste 103, Salt Lake City, UT 84117-5175 | 2016-08-23 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84124 |
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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.