Jacob Elliott, PHD

NPI: 1629065701

Jacob Elliott, PHD

Q: What is Jacob Elliott's NPI number?

Jacob Elliott's NPI number is 1629065701, a unique 10-digit identifier issued by CMS.

Q: What does Jacob Elliott specialize in?

Jacob Elliott specializes in Psychologist, taxonomy code 103T00000X.

Q: Where does Jacob Elliott practice?

Jacob Elliott practices in Sylvania, OH 43560-2775.

Q: When was Jacob Elliott's NPI issued?

Jacob Elliott's NPI was issued on October 4, 2005.

Q: What is Jacob Elliott's provider type?

Jacob Elliott is an Individual Provider under CMS NPI Type 1.

ActiveIndividual ProviderPsychologist

NPI issued: October 4, 2005

Quick Facts

NPI Number

1629065701

TypeIndividual

StatusActive

SpecialtyPsychologist

Taxonomy103T00000X — Psychologist

Phone

(419) 885-1910

StateOH

NPI Validation Status: Verified

✅Valid 10-digit NPI number (1629065701)

✅Active status confirmed

✅Verified by CMS NPPES Registry

✅HIPAA compliant identifier

✅Enumeration date on file (October 4, 2005)

Data source: CMS NPPES

Provider Overview

JACOB ELLIOTT, PHD is a Psychologist provider based in Sylvania, OH who has been registered with CMS since 2005. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1629065701

Provider TypeIndividual Provider

GenderMale

CredentialPHD

StatusActive

Enumeration DateOctober 4, 2005

Practice Location

CitySylvania

StateOH

ZIP Code43560-2775

Phone(419) 885-1910

Specialties & Licenses

★ Primary

SpecialtyPsychologist

Taxonomy Code103T00000X

License StateOH

Mailing Address

CitySylvania

StateOH

ZIP Code43560-2775

Phone(419) 885-1910

Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1629065701 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1629065701for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1629065701 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Psychologist

Specialists in Psychologist provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

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