DR. LISA JACOBSON (NPI# 1689813040) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689813040 |
| Entity Type | Individual |
| Full Name | DR. LISA JACOBSON |
| Credential | PH.D. |
| Practice Address |
1750 E Fairmount Ave Department of Neuropsychology Baltimore MD 21231-1534 |
| Practice Telephone | 4439234431 |
| Enumeration Date | 2009-02-09 |
| Last Update Date | 2010-09-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 04872 | MD | Behavioral Health & Social Service Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235469115 | Lisa Jacobson | Occupational Therapist | 3724 Lacina Dr Sw, Iowa City, IA 52240-8620 | 2009-12-28 |
| 1154985810 | Lisa Ann Jacobson | Behavior Technician | 744 Empire St Ste 160, Fairfield, CA 94533-5562 | 2019-04-29 |
| 1083904734 | Lisa M. Jacobson | Dentist | 230 W Jersey St, Medical Arts Building, Suite 209, C/o Dr. W. Silverman, Elizabeth, NJ 07202-1364 | 2011-04-14 |
| 1740413855 | Lisa Jacobson | Social Worker | 165 N Village Ave, Suite #201, Rockville Centre, NY 11570-3761 | 2009-08-24 |
| 1982865424 | Lisa C Jacobson | Psychologist | 4 Terry Dr, The Atrium, Suite 7, Newtown, PA 18940-1838 | 2008-06-18 |
| 1558529453 | Lisa Jacobson | Emergency Medicine | 407 Uluniu St, #411, Kailua, HI 96734-2519 | 2008-05-28 |
| 1588762595 | Lisa Jacobson | Optometrist | 400 Hillside Ave, Needham, MA 02494-1263 | 2006-09-21 |
| 1922073766 | Lisa Waite Jacobson | Otolaryngology | 8872 Professional Dr, Cadillac, MI 49601-8481 | 2006-02-22 |
| Street Address |
1750 E FAIRMOUNT AVE DEPARTMENT OF NEUROPSYCHOLOGY |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21231-1534 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093789877 | Jennifer L Pritchard | Speech-Language Pathologist | 1750 E Fairmount Ave, Baltimore, MD 21231-1534 | 2006-02-16 |
| 1164036745 | Courtney Kaczmarek | Speech-Language Pathologist | 1750 E Fairmount Ave, Baltimore, MD 21231-1534 | 2020-09-01 |
| 1649805052 | Danielle Previ | Psychologist | 1750 E Fairmount Ave, Baltimore, MD 21231-1534 | 2020-03-05 |
| 1255975306 | Shalom Shapiro | Clinical Neuropsychologist | 1750 E Fairmount Ave, Baltimore, MD 21231-1534 | 2019-11-01 |
| 1700436912 | Neha Sharma | Speech-Language Pathologist | 1750 E Fairmount Ave, Baltimore, MD 21231-1534 | 2019-09-19 |
| 1699329573 | Sarah B Harris | Speech-Language Pathologist | 1750 E Fairmount Ave, Baltimore, MD 21231-1534 | 2019-07-29 |
| 1982256814 | Sandra Rodgin | Student in an Organized Health Care Education/Training Program | 1750 E Fairmount Ave, Baltimore, MD 21231-1534 | 2019-07-11 |
| 1225694565 | Ashley Marie Boyle | Student in an Organized Health Care Education/Training Program | 1750 E Fairmount Ave, Baltimore, MD 21231-1534 | 2019-05-13 |
| 1538724141 | Danielle Brooke Willis | Student in an Organized Health Care Education/Training Program | 1750 E Fairmount Ave, Baltimore, MD 21231-1534 | 2019-05-08 |
| 1043875941 | Kaitlin Gould | Student in an Organized Health Care Education/Training Program | 1750 E Fairmount Ave, Baltimore, MD 21231-1534 | 2019-05-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356901102 | Danielle Wexler | Student in an Organized Health Care Education/Training Program | 1750 E Fairmount Ave Fl 3, Baltimore, MD 21231 | 2019-06-14 |
| 1427615822 | Elana Rachel Kagan | Psychologist | 1750 East Fairmont Ave, Baltimore, MD 21231 | 2019-05-22 |
| 1982196176 | Gabriel Ewing | Massage Therapist | Sanctuary Bodyworks, 710 S. Ann St. #210, Baltimore, MD 21231 | 2018-06-04 |
| 1306358098 | Zachary Woods | Chiropractor | 2001 Eastern Avenue, 1st Floor, Baltimore, MD 21231 | 2017-11-02 |
| 1396191458 | The Johns Hopkins Hospital | Pharmacy | 401 N. Broadway, Suite 1001, Baltimore, MD 21231 | 2016-05-09 |
| 1235593468 | Saurabh Raj Pandey | Pharmacist | 919 N Caroline St, Baltimore, MD 21231 | 2016-04-13 |
| 1306251202 | Clare Gibson | Psychologist | 2240 East Baltimore St, Baltimore, MD 21231 | 2014-06-30 |
| 1245645514 | Marie Woods | Psychologist | 14 S. Broadway St., Baltimore, MD 21231 | 2014-06-25 |
| 1003226234 | Rebecca Delaney Tsao | Nurse Practitioner | 98 North Broadway, Suite 421, Baltimore, MD 21231 | 2014-04-28 |
| 1265856488 | Paul Laurence Dunbar High School | Clinic/Center | 1400 Orleans Street, Baltimore, MD 21231 | 2014-02-07 |
| Find all providers in zip 21231 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902333107 | Keenan Alexander Walker | Clinical Neuropsychologist | Phipps, Room 446, 600 North Wolfe Street, Baltimore, MD 21287 | 2017-05-18 |
| 1588008510 | Jacqueline R Weaver | Clinical Neuropsychologist | 2200 Kernan Dr Ofc 1219, Baltimore, MD 21207-6665 | 2013-04-21 |
| 1275875221 | Matthew Lawrence Cohen | Clinical Neuropsychologist | Meyer 218 The Johns Hopkins Hospital, 600 N Wolfe St, Baltimore, MD 21287-0005 | 2013-03-17 |
| 1972898062 | Joseph Jason Van Steenburgh | Clinical Neuropsychologist | 1629 Thames St Ste 350, Division of Cognitive Neurology, Baltimore, MD 21231-3440 | 2011-06-16 |
| 1346554011 | Lindsey Elizabeth Kirsch-darrow | Clinical Neuropsychologist | Physical Medicine and Rehab 600 North Wolfe St, Phipps 174, Baltimore, MD 21287-0001 | 2010-08-04 |
| 1366699076 | Sally Long | Clinical Neuropsychologist | 600 N. Wolfe St, Meyer 218, Baltimore, MD 21287-7218 | 2008-08-25 |
| 1326236571 | Brenda Hanna-pladdy | Clinical Neuropsychologist | 110 S Paca Street 3rd Floor, University of Maryland School of Medicine, Baltimore, MD 21201 | 2007-10-11 |
| 1972116200 | Kalina Eneva Hurley | Clinical Neuropsychologist | 1708 W Rogers Ave, Baltimore, MD 21209-4596 | 2020-08-26 |
| 1396356077 | Jessica Cinda Dalrymple | Clinical Neuropsychologist | 10 N Greene St, Baltimore, MD 21201-1524 | 2020-08-14 |
| 1457960650 | Marilyn Albert | Clinical Neuropsychologist | 1620 Mcelderry St, Baltimore, MD 21205-1911 | 2020-07-24 |
| Find all providers in BALTIMORE | ||||
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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.