Organization
SHERYL R. JACOBS, PH.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHERYL R JACOBS (DIRECTOR)
(410) 580-9045
Entity
Organization
Contact information
Practice address
6 RESERVOIR CIR STE 201, BALTIMORE, MD 21208-7300
(410) 580-9045
(410) 580-9046
Mailing address
6 RESERVOIR CIR STE 201, BALTIMORE, MD 21208-7300
(410) 580-9045
(410) 580-9046
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2899
MD
103TC0700X
Clinical Psychologist
2899
MD
103TC2200X
Clinical Child & Adolescent Psychologist
2899
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006499
VALUE OPTIONS
MD
01
—
157959
MHN
MD
01
—
218020
KAISER PERMANENTE
MD
01
—
22877
JOHNS HOPKINS UNIVERSITY
MD
01
—
373857
TRICARE
MD
01
—
46365
CIGNA
MD
Enumeration date
02/09/2007
Last updated
09/11/2025
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