Jacob Lackow, M.A.
NPI 1295188159 · Student in an Organized Health Care Education/Training Program · New York, NY
Enrolled with Medicare as Order and Referring Only - Clinical Psychologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jacob Lackow, M.A. is a Student in an Organized Health Care Education/Training Program provider in New York, NY (NPI 1295188159).
Provider details
- NPI number
- 1295188159
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Credential
- M.A.
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Mailing address
Additional practice locations (1)
- 1339 20th StSanta Monica, CA 90404-2033Phone: (310) 829-5511
Registry dates
- Enumerated
- 2016-07-15
- Last updated
- 2019-05-22
Frequently asked questions
- What is Jacob Lackow's NPI number?
- Jacob Lackow's National Provider Identifier (NPI) is 1295188159, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jacob Lackow's specialty?
- Jacob Lackow is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program (Student, Health Care).
- Where is Jacob Lackow located?
- Jacob Lackow's practice location on file with NPPES is 101 E 56th St, New York, NY 10022-2661.
- What is Jacob Lackow's phone number?
- The practice phone number listed in the NPPES registry for Jacob Lackow is (646) 625-4300.
- Does Jacob Lackow accept Medicare?
- Jacob Lackow is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jacob Lackow's NPI active?
- Yes — Jacob Lackow's NPI (1295188159) is active in the NPPES registry as of the last update on 2019-05-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.