Susan Jacob, PHD
NPI 1467675819 · Clinical Child & Adolescent Psychologist · Port Washington, NY
Susan Jacob, PHD is a Clinical Child & Adolescent Psychologist provider in Port Washington, NY (NPI 1467675819).
Provider details
- NPI number
- 1467675819
- Entity type
- Individual
- Primary specialty
- Clinical Child & Adolescent PsychologistBehavioral Health & Social Service Providers
- Credential
- PHD
- Sex
- Female
- Sole proprietor
- Yes
- License
- 0077981 (NY)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
- 2007-04-11
- Last updated
- 2007-07-08
Frequently asked questions
- What is Susan Jacob's NPI number?
- Susan Jacob's National Provider Identifier (NPI) is 1467675819, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Susan Jacob's specialty?
- Susan Jacob is listed in the NPPES registry with a primary specialty of Clinical Child & Adolescent Psychologist (Behavioral Health & Social Service Providers).
- Where is Susan Jacob located?
- Susan Jacob's practice location on file with NPPES is 14 Vanderventer Ave, Port Washington, NY 11050-3737.
- What is Susan Jacob's phone number?
- The practice phone number listed in the NPPES registry for Susan Jacob is (516) 944-3786.
- Is Susan Jacob's NPI active?
- Yes — Susan Jacob's NPI (1467675819) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.