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Deactivated NPI 1265535462 Deactivated / Inactive NPI Male Practitioner

Dr. James Walter Jacobs , PhD

Psychologist • Dothan, AL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. James Jacobs has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 06, 2006
NPI Deactivation Date November 03, 2020
Total Practice Duration ~14 Years of Practice (2006 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. James Jacobs, PhD was a registered Psychologist practicing in Dothan, AL. Throughout an active medical career spanning 14 years, Dr. Jacobs provided care at the practice location at 256 HONEYSUCKLE ROAD until profile deactivation on 2020-11-03.

Historical Medicare Part B clinical services included evaluation of psychological test, evaluation of psychological test, first hour, psychiatric diagnostic evaluation. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

256 Honeysuckle Road
Suite 14

Dothan, AL 36305

Telephone 3347945467
Fax 3346771051
Associated Practice Facility / Clinic
🏢 Ruthanne Wilkes, Llc Facility NPI 1043717580

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Dothan, AL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.5 Yrs
Regional Practice Density
6 Specialists

Practicing in Dothan, AL (213 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
27.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
96131 Evaluation of psychological test, each additional hour
88 44 $140.00 $89.86
96130 Evaluation of psychological test, first hour
44 44 $140.00 $117.08
90791 Psychiatric diagnostic evaluation
44 44 $200.00 $139.45

Medical Specialties & State Licenses

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License AL 325

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Krista Smith , LPC

Counselor - Professional

NPI 1083261325

Licensed Professional Counselor

NPI 1508121278

Master of Science, Licensed Professional Counselor

NPI 1588767768

Doctor of Philosophy (Ph.D.)

NPI 1710082896

Licensed Professional Counselor

NPI 1942395405

Licensed Professional Counselor, National Certified Counselor

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated November 03, 2020

Record deactivated on November 03, 2020

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 256 HONEYSUCKLE ROAD, SUITE 14, DOTHAN, AL 36305 (Tel: 3347945467)

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Updated Business Mailing Address July 08, 2007

Registered at 256 HONEYSUCKLE ROAD, SUITE 14, DOTHAN, AL 36305 (Tel: 3347945467)

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Provider Name / Credentials Updated July 08, 2007

Recorded as JAMES JACOBS, PH D

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Psychologist (License #325 in AL)

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Initial NPI Registration & Enumeration September 06, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1265535462
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 06, 2006
Last Update: July 08, 2007
Deactivation Date: November 03, 2020

Mailing Address

256 Honeysuckle Road, Suite 14

Dothan, AL 36305

Phone: 3347945467

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.