IndividualActive
Mary Jacob, PH.D.
NPI 1083612246 · Psychologist · Farmington, CT
Mary Jacob, PH.D. is a Psychologist provider in Farmington, CT (NPI 1083612246).
Provider details
- NPI number
- 1083612246
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 001621 (CT)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
263 Farmington Ave
Farmington, CT 06030-0001
Phone: (860) 679-4550
Fax: (860) 679-1845
Approximate (ZIP-level) locationGet directions
Mailing address
263 Farmington Ave
Farmington, CT 06030-2212
Registry dates
- Enumerated
- 2005-07-12
- Last updated
- 2014-02-19
Frequently asked questions
- What is Mary Jacob's NPI number?
- Mary Jacob's National Provider Identifier (NPI) is 1083612246, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mary Jacob's specialty?
- Mary Jacob is listed in the NPPES registry with a primary specialty of Psychologist (Behavioral Health & Social Service Providers).
- Where is Mary Jacob located?
- Mary Jacob's practice location on file with NPPES is 263 Farmington Ave, Farmington, CT 06030-0001.
- What is Mary Jacob's phone number?
- The practice phone number listed in the NPPES registry for Mary Jacob is (860) 679-4550.
- Is Mary Jacob's NPI active?
- Yes — Mary Jacob's NPI (1083612246) is active in the NPPES registry as of the last update on 2014-02-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.