Bruce Jacobson, PH.D., P.C.
NPI 1679743009 · Psychologist · Salt Lake City, UT
Enrolled with Medicare as Practitioner - Clinical Psychologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Bruce Jacobson, PH.D., P.C. is a Psychologist provider in Salt Lake City, UT (NPI 1679743009).
Provider details
- NPI number
- 1679743009
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D., P.C.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 450510082 (UT)
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
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
Mailing address
Registry dates
- Enumerated
- 2008-02-29
- Last updated
- 2018-03-14
Frequently asked questions
- What is Bruce Jacobson's NPI number?
- Bruce Jacobson's National Provider Identifier (NPI) is 1679743009, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Bruce Jacobson's specialty?
- Bruce Jacobson is listed in the NPPES registry with a primary specialty of Psychologist (Behavioral Health & Social Service Providers).
- Where is Bruce Jacobson located?
- Bruce Jacobson's practice location on file with NPPES is 4190 Highland Dr, Salt Lake City, UT 84124-2600.
- What is Bruce Jacobson's phone number?
- The practice phone number listed in the NPPES registry for Bruce Jacobson is (801) 272-0614.
- Does Bruce Jacobson accept Medicare?
- Bruce Jacobson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Bruce Jacobson's NPI active?
- Yes — Bruce Jacobson's NPI (1679743009) is active in the NPPES registry as of the last update on 2018-03-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.