MARNI L. JACOB, PH.D., LLC (NPI# 1770197410) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770197410 |
| Entity Type | Organization |
| Organization Name | MARNI L. JACOB, PH.D., LLC |
| Practice Address |
1200 N Federal Hwy Ste 200 Boca Raton FL 33432-2813 |
| Practice Telephone | 5613255115 |
| Mailing Telephone | 5613255115 |
| Enumeration Date | 2020-09-01 |
| Last Update Date | 2020-09-01 |
| Authorized Official Name | DR. MARNI L. JACOB (OWNER/CLINICAL DIRECTOR) |
| Authorized Official Telephone | 5613255115 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Jacob Center for Evidence-Based Treatment | Doing Business As Name - Organization |
| Street Address |
1200 N FEDERAL HWY STE 200 |
| City | BOCA RATON |
| State | FL |
| Zip Code | 33432-2813 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033293279 | Stacey J Nelson | Marriage & Family Therapist | 1200 N Federal Hwy Ste 200, Boca Raton, FL 33432-2813 | 2006-10-24 |
| 1124626791 | Sunset Home Health Care Services LLC | Home Health | 1200 N Federal Hwy Ste 200, Boca Raton, FL 33432-2813 | 2020-10-15 |
| 1487251831 | Elite Medical Transport Inc. | Ambulance | 1200 N Federal Hwy Ste 200, Boca Raton, FL 33432-2813 | 2020-10-07 |
| 1578064663 | Protransportation Inc. | Non-emergency Medical Transport (VAN) | 1200 N Federal Hwy Ste 200, Boca Raton, FL 33432-2813 | 2018-02-23 |
| 1801343538 | John Cutrone Lmhc LLC | Counselor | 1200 N Federal Hwy Ste 200, Boca Raton, FL 33432-2813 | 2016-09-11 |
| 1811392962 | Vicinitas | Specialist | 1200 N Federal Hwy Ste 200, Boca Raton, FL 33432-2813 | 2014-10-31 |
| 1871811349 | John Cutrone | Counselor | 1200 N Federal Hwy Ste 200, Boca Raton, FL 33432-2813 | 2010-05-09 |
| 1134373566 | Comprehensive Outpatient Recovery, Treatment & Evaluation, Inc. | Psychologist | 1200 N Federal Hwy Ste 200, Boca Raton, FL 33432-2813 | 2008-11-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962024067 | Barry Wolf | Counselor | Jackwolf LLC, 247 S. Ocean Blvd, Boca Raton, FL 33432 | 2020-05-12 |
| 1225659147 | Tyler Stephanie Diaz Redford | Physician Assistant | 106 Ne 2nd St., Boca Raton, FL 33432 | 2020-05-01 |
| 1235611393 | Gabrielle Bovarnick | Behavioral Analyst | 1730 S Federal Hwy #268, Delay Beach, FL 33432 | 2018-09-05 |
| 1285113878 | Innovative Supplies, LLC | Durable Medical Equipment & Medical Supplies | 399 Camino Gardens, Ste 303, Boca Raton, FL 33432 | 2018-08-14 |
| 1376029850 | Sunlight Medical Group, LLC | Durable Medical Equipment & Medical Supplies | 1700 N. Dixie Highway, Ste 127, Boca Raton, FL 33432 | 2018-07-17 |
| 1306332648 | Sunlight Medical LLC | Durable Medical Equipment & Medical Supplies | 1700 Dixie Hwy, Suite 127, Boca Raton, FL 33432 | 2018-07-10 |
| 1669973707 | Amanda M. D'alem | Behavior Technician | Nw 13th St #300, Boca Raton, FL 33432 | 2018-02-23 |
| 1457863326 | Pipeline Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 1700 N Dixie Hwy Ste 140, Boca Raton, FL 33432 | 2017-10-31 |
| 1063930717 | Francisco Jose Osorio | Behavior Technician | 123 Nw 13 St, Boca Raton, FL 33432 | 2017-09-01 |
| 1023467263 | Sraz Consultancy LLC | Counselor | 370 Camino Gardens Blvd Suite 101, Boca Raton, FL 33432 | 2016-06-08 |
| Find all providers in zip 33432 | ||||
| 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 |
|---|---|---|---|---|
| 1215547153 | Ellen Frances Price Phd | Psychologist | 7025 Beracasa Way Ste 102c, Boca Raton, FL 33433-3428 | 2020-08-05 |
| 1598386187 | Alyssa M Fredricks | Psychologist | 23438 Alzira Cir, Boca Raton, FL 33433-8231 | 2020-05-05 |
| 1497398358 | Dr Beverly Pedroche Inc | Psychologist | 4400 N, Federal Highway, Suite 210-48, Boca Raton, FL 33431 | 2019-10-23 |
| 1255993234 | Daria M Wels Psy D Pa | Psychologist | 951 Nw 13th St Ste 2b, Boca Raton, FL 33486-2337 | 2019-07-01 |
| 1699234120 | Vincenza A Tiberia | Psychologist | 6592 Villa Sonrisa Dr Apt 1023, Boca Raton, FL 33433-4084 | 2019-03-14 |
| 1033664107 | Alyssa Lauren Segal | Psychologist | 7100 Camino Real Ste 201, Boca Raton, FL 33433-5510 | 2016-08-18 |
| 1588021133 | Arlene Frank | Psychologist | 4100 Nw 60th Cir, Boca Raton, FL 33496-4064 | 2016-01-26 |
| 1679993513 | Diana Davidson | Psychologist | 2200 Nw Corporate Blvd. Suite 300, Relationship Center of South Florida, Boca Raton, FL 33431 | 2014-04-18 |
| 1023441755 | Christina Remek | Psychologist | 123 Nw 13th St Ste 222, Boca Raton, FL 33432 | 2013-08-16 |
| 1538506316 | Tracey Kriegstein | Psychologist | 9960 Central Park Blvd N Ste 235, Boca Raton, FL 33428-1760 | 2013-06-03 |
| Find all providers in BOCA RATON | ||||
| City | BOCA RATON |
| Zip Code | 33432 |
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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.