JACOB PARRETT (PHD) – Clinical Psychologist, NPI 1194587378

JACOB PARRETT (PHD) is a healthcare provider. based in Bryan, Texas. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PHD. They hold a License No. 40126 (TX). The NPI Number for JACOB PARRETT (PHD) is 1194587378

Main info

Male
Sole Proprietor
3 Years Of Experience
Accepts Medicare Assignment
Name
JACOB PARRETT (PHD)
NPI
1194587378
Phone
(979) 317-9544
Address
3070 POSITANO LOOP
Enumeration Date
24 January 2024
Last Update Date
24 January 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7193576471
Graduation Year
2023 (3 years ago)
PAC ID
2860913183
Group Practice PAC ID
0446550024
Professional Enrollment ID
I20250304000160
Address ID
CO809073597CO1115XDRXX301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

1,347 CLINICAL PSYCHOLOGIST in TX

Provider Addresses for JACOB PARRETT (PHD)

  • 3070 POSITANO LOOP

    BRYAN, TX 778085440

    Phone: (979) 317-9544

    Type: Mailing

  • 408 TARROW ST

    COLLEGE STATION, TX 778407811

    Phone: (979) 268-1111

    Type: Location

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: 2025-03-04

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
I20250304000160IClinical PsychologistCOTBD

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 77808)

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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: 0446550024View full group profile
NameSpecialtyState
Clinical PsychologistCO
Clinical PsychologistCO
Clinical PsychologistCO
Clinical PsychologistCO
Clinical PsychologistCO
Clinical PsychologistCO
-CO
Clinical PsychologistCO
Clinical PsychologistCO
Clinical PsychologistCO

Reviews

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Frequently asked questions

Can I verify JACOB PARRETT (PHD) with an NPI only?
You can start verification with NPI 1194587378 for JACOB PARRETT (PHD), then check state licensing separately.
Can I rely on JACOB PARRETT (PHD) being an active provider?
As of the registry snapshot, JACOB PARRETT (PHD) is marked active.
What healthcare role does JACOB PARRETT (PHD) hold?
Scheduling teams often label JACOB PARRETT (PHD) under Clinical Psychologist. Clinical services aligned with this taxonomy classification.
Does JACOB PARRETT (PHD) list a practice location?
Patients near Bryan, Texas may find JACOB PARRETT (PHD) in results; validate coverage separately.
Is the information about JACOB PARRETT (PHD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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