Individual
DR. JAMES LELAND JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
123 MUDGET HILL RD, VASSALBORO, ME 04989-4305
(207) 445-4756
Mailing address
PO BOX 348, NORTH VASSALBORO, ME 04962-0348
(207) 217-4362
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PS600
ME
103TA0400X
Addiction (Substance Use Disorder) Psychologist
PS600
ME
103TC0700X
Clinical Psychologist
Primary
PS600
ME
103TC2200X
Clinical Child & Adolescent Psychologist
PS600
ME
103TF0200X
Forensic Psychologist
PS600
ME
103TR0400X
Rehabilitation Psychologist
PS600
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
143490000
—
ME
Enumeration date
01/09/2007
Last updated
07/17/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us