IndividualActive
Charles Jacob, PH.D.
NPI 1063600195 · Psychologist · Havertown, PA
Charles Jacob, PH.D. is a Psychologist provider in Havertown, PA (NPI 1063600195).
Provider details
- NPI number
- 1063600195
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- PS017732 (PA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
33 Sycamore Rd
Havertown, PA 19083-4406
Phone: (412) 596-3870
Street-level locationGet directions
Mailing address
8200 Flourtown Ave
Wyndmoor, PA 19038-7976
Registry dates
- Enumerated
- 2007-10-15
- Last updated
- 2023-06-01
- Certified
- 2023-06-01
Frequently asked questions
- What is Charles Jacob's NPI number?
- Charles Jacob's National Provider Identifier (NPI) is 1063600195, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Charles Jacob's specialty?
- Charles Jacob is listed in the NPPES registry with a primary specialty of Psychologist (Behavioral Health & Social Service Providers).
- Where is Charles Jacob located?
- Charles Jacob's practice location on file with NPPES is 33 Sycamore Rd, Havertown, PA 19083-4406.
- What is Charles Jacob's phone number?
- The practice phone number listed in the NPPES registry for Charles Jacob is (412) 596-3870.
- Is Charles Jacob's NPI active?
- Yes — Charles Jacob's NPI (1063600195) is active in the NPPES registry as of the last update on 2023-06-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.