Bruce K Jacobson Ph D P C
NPI 1417913575 · Adult Mental Health Clinic/Center · Salt Lake City, UT
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Bruce K Jacobson Ph D P C is a Adult Mental Health Clinic/Center organization in Salt Lake City, UT (NPI 1417913575).
Provider details
- NPI number
- 1417913575
- Entity type
- Organization
- Primary specialty
- Adult Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Bruce Jacobson, President and Psychologist(801) 272-0614
- License
- 1162592501 (UT)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
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
Mailing address
Registry dates
- Enumerated
- 2006-04-26
- Last updated
- 2018-03-16
Frequently asked questions
- What is Bruce K Jacobson Ph D P C's NPI number?
- Bruce K Jacobson Ph D P C's National Provider Identifier (NPI) is 1417913575, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Bruce K Jacobson Ph D P C?
- Bruce K Jacobson Ph D P C is classified in the NPPES registry as Adult Mental Health Clinic/Center (Ambulatory Health Care Facilities).
- Where is Bruce K Jacobson Ph D P C located?
- Bruce K Jacobson Ph D P C's practice location on file with NPPES is 4190 Highland Dr, Salt Lake City, UT 84124-2600.
- What is Bruce K Jacobson Ph D P C's phone number?
- The practice phone number listed in the NPPES registry for Bruce K Jacobson Ph D P C is (801) 272-0614.
- Does Bruce K Jacobson Ph D P C accept Medicare?
- Bruce K Jacobson Ph D P C is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Bruce K Jacobson Ph D P C?
- The authorized official listed on Bruce K Jacobson Ph D P C's NPPES record is Bruce Jacobson, President and Psychologist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Bruce K Jacobson Ph D P C's NPI active?
- Yes — Bruce K Jacobson Ph D P C's NPI (1417913575) is active in the NPPES registry as of the last update on 2018-03-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.