Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1063922417 Individual Practitioner Female Practitioner

Ryanne E Jacoby , SSP, NCSP, MA

Psychologist - School • Carthage, IL

Professional Overview & Biography Verified Profile Summary

Ryanne Jacoby, SSP, NCSP, MA is a registered healthcare professional specializing in Psychologist - School in Carthage, IL. Practice services are available at 600 MILLER ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

600 Miller St

Carthage, IL 623211129

Telephone 2173572136
Fax 2173573569
Associated Practice Facility / Clinic
🏢 Carthage Cusd 338 Facility NPI 1700088267

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist - School in Carthage, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 7.5 Yrs
Regional Practice Density
1 Specialists

Practicing in Carthage, IL (653 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-08-20
Psychologist - School Primary Specialty

NUCC Taxonomy Code: 103TS0200X

State License IL 2351336

A psychologist whose specialty is concerned with the science and practice of psychology with children, youth, families; learners of all ages; and the schooling process. The basic education and training of school psychologists prepares them to provide a range of psychological diagnosis, assessment, intervention, prevention, health promotion, and program development and evaluation services with a special focus on the developmental processes of children and youth within the context of schools, families and other systems. School psychologists are prepared to intervene at the individual and system level, and develop, implement, and evaluate preventive programs. In these efforts, they conduct ecologically valid assessments and intervene to promote positive learning environments within which children and youth from diverse backgrounds to ensure that all have equal access to effective educational and psychological services that promote healthy development

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1063922417 (IL)

Secondary Practice Locations

640 Buchanan St

Carthage, IL 623211402

Phone: 2173573914

Practice Associates & Co-Workers

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

1 Associated Practitioners
Bobbi Skinner

Psychologist

NPI 1699377309

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location August 20, 2021

Registered at 600 MILLER ST, CARTHAGE, IL 623211129 (Tel: 2173572136)

👤
Provider Name / Credentials Updated August 20, 2021

Recorded as RYANNE JACOBY, SSP, NCSP, MA

NPI Profile Active October 11, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location October 11, 2017

Registered at 640 BUCHANAN ST, CARTHAGE, IL 623211402 (Tel: 2173573914)

📍
Updated Business Mailing Address October 11, 2017

Registered at 210 S ADAMS ST, CARTHAGE, IL 623211420 (Tel: 2173573914)

👤
Provider Name / Credentials Updated October 11, 2017

Recorded as RYANNE NASON, SSP, NCSP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 11, 2017

Psychologist (License #2351336 in IL)

🟢
Initial NPI Registration & Enumeration October 11, 2017

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: 1063922417
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 11, 2017
Last Update: August 20, 2021
Sole Proprietor: No

Mailing Address

210 S Adams St

Carthage, IL 623211420

Phone: 2173579202

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.