DR. THEODORE JOSEPH JACOBS
NPI 1366703761
Psychiatry & Neurology - Psychiatry in New York, NY
NPI Status: Active since June 01, 2012
Contact Information
18 EAST 87TH STREET
APT 1E
NEW YORK, NY
ZIP 10128
Phone: (212) 879-3002
Fax: (914) 725-5877
- Individual
- Male
- Psychiatry & Neurology
- Psychiatry
- Opted-Out Medicare
About THEODORE JACOBS
This page provides the complete NPI Profile along with additional information for Theodore Jacobs, a provider established in New York, New York with a medical specialization in Psychiatry & Neurology, focusing in psychiatry . The healthcare provider is registered in the NPI registry with number 1366703761 assigned on June 2012. The practitioner's primary taxonomy code is 2084P0800X with license number 083516 (NY). The provider is registered as an individual and his NPI record was last updated 13 years ago.
- NPI
- 1366703761
- Provider Name
- DR. THEODORE JOSEPH JACOBS
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 18 EAST 87TH STREET APT 1E NEW YORK, NY 10128
- Location Phone
- (212) 879-3002
- Location Fax
- (914) 725-5877
- Mailing Address
- 18 EAST 87TH STREET APT 1E NEW YORK, NY 10128
- Mailing Phone
- (212) 879-3002
- Mailing Fax
- (914) 725-5877
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 06-01-2012
- Last Update Date
- 06-01-2012
- Code Navigator
A psychiatrist like Theodore Jacobs are primary mental health physicians diagnose and treat mental illnesses through psychotherapy, psychoanalysis, hospitalization and medication. Psychiatrist help patients find solutions through changes in their behavioral patterns, explorations of experiences, group and family therapy.
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Theodore Jacobs opted out of Medicare effective on 02-08-2021 until 02-08-2025. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychiatry & Neurology Psychiatry
- Taxonomy Code
- 2084P0800X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 083516
- License State
- NY
- Taxonomy Description
- A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Medicare Participation & PECOS Enrollment Status
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 02-08-2021
Opt-Out End Date: 02-08-2025
Eligible to Order and Refer? No
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 6 | 6 | 7 | 0 | 3 | 7 | 6 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 12 | 6 | 14 | 0 | 6 | 7 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 1 + 2 + 6 + 1 + 4 + 0 + 6 + 7 + 1 + 2 + 24 = 59 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 59 = 1 | 1 | ||||||||
The NPI number 1366703761 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1366703761, enumerated in the NPI registry as an "individual" on June 01, 2012
The provider is located at 18 East 87th Street Apt 1e New York, Ny 10128 and the phone number is (212) 879-3002
The provider's speciality is Psychiatry & Neurology with taxonomy code 2084P0800X with a focus in Psychiatry
No, the provider signed an affidavit on February 08, 2021 to opt-out of the Medicare program. The provider is excluded from the Medicare program until February 08, 2025.
This NPI record was last updated on June 01, 2012. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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