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Organization

SUSANNAH JACOBI, PH.D., P.C.

Active
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Organization

SUSANNAH JACOBI, PH.D., P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SUSANNAH GILLE JACOBI PHD (PRESIDENT)
(646) 290-8404
Entity
Organization

Contact information

Practice address
144 W 86TH ST STE 1A, NEW YORK, NY 10024-4028
(646) 290-8404
(888) 290-2182
Mailing address
144 W 86TH ST STE 1A, NEW YORK, NY 10024-4028
(646) 290-8404
(888) 290-2182

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
015752
NY
261QM0850X
Adult Mental Health Clinic/Center
Primary
015752
NY

Other

Enumeration date
12/20/2007
Last updated
08/25/2026
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