JAMIE M JACOBS (PHD) – Clinical Psychologist, NPI 1033539614

JAMIE M JACOBS (PHD) is a healthcare provider. based in Boston, Massachusetts. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PHD. They hold a License No. 10459 (MA). The NPI Number for JAMIE M JACOBS (PHD) is 1033539614

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
JAMIE M JACOBS (PHD)
NPI
1033539614
Phone
(617) 724-5600
Address
55 FRUIT ST.
Enumeration Date
22 April 2014
Last Update Date
14 November 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6177262000
Graduation Year
2015 (11 years ago)
PAC ID
5193006088
Group Practice PAC ID
6507803806
Professional Enrollment ID
I20170109001691
Address ID
MA021142621BO55XXXSTXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

1,694 CLINICAL PSYCHOLOGIST in MA

Provider Addresses for JAMIE M JACOBS (PHD)

  • 55 FRUIT ST.

    MASSACHUSETTS GENERAL HOSPITAL

    BOSTON, MA 02114

    Phone: (617) 724-5600

    Type: Location

  • 55 FRUIT ST STE 10B

    MASSACHUSETTS GENERAL HOSPITAL

    BOSTON, MA 021142621

    Phone: (617) 643-1777

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-01-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170109001691IClinical PsychologistMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02114)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6507803806View full group profile

Reviews

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Frequently asked questions

Is there an official ID for JAMIE M JACOBS (PHD) in U.S. healthcare records?
The official identifier for JAMIE M JACOBS (PHD) is NPI 1033539614.
Is JAMIE M JACOBS (PHD) shown as active in public data?
Registry records indicate JAMIE M JACOBS (PHD) maintains an active NPI.
What clinical focus is listed for JAMIE M JACOBS (PHD)?
At a glance, JAMIE M JACOBS (PHD) is tied to Clinical Psychologist. Clinical services aligned with this taxonomy classification.
Is JAMIE M JACOBS (PHD) associated with Boston?
Public fields place JAMIE M JACOBS (PHD) around Boston, Massachusetts. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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