Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1346469293 Individual Practitioner Female Practitioner

Dr. Edith Claire Jacobs , PhD

Psychologist - Clinical • Buffalo, NY

Professional Overview & Biography Verified Profile Summary

Dr. Edith Jacobs, PhD is a registered healthcare professional specializing in Psychologist - Clinical in Buffalo, NY. Practice services are available at 406 LINWOOD AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

406 Linwood Ave

Buffalo, NY 14209

Telephone 7168867304
Fax 7168867398
Associated Practice Facility / Clinic
🏢 Stephen Miller, Lmft Facility NPI 1295412252

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist - Clinical in Buffalo, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 27.8 Yrs
State Avg: 31.2 Yrs
Regional Practice Density
58 Specialists

Practicing in Buffalo, NY (6869 Statewide)

Telehealth Adoption Rate
10.3% 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

Psychologist - Clinical Primary Specialty

NUCC Taxonomy Code: 103TC0700X

State License NY 009157

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
02103753 (NY)

Practice Associates & Co-Workers

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

9 Associated Practitioners
Michael Evola , MSW

Social Worker - Clinical

NPI 1104887231

Master of Social Work

Dr. Lisa Anllo , PhD

Psychologist - Clinical

NPI 1174647044

Doctor of Philosophy (Ph.D.)

Dr. Karen Klementowski , PsyD

Psychologist - Clinical

NPI 1184848160

Doctor of Psychology (Psy.D.)

Wendy Gottlieb-Sass , LCSW-R

Counselor - Mental Health

NPI 1265582639

Licensed Clinical Social Worker - Registered

Dr. Renee Wert , PhD

Psychologist - Clinical

NPI 1336114933

Doctor of Philosophy (Ph.D.)

NPI 1417099912

Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 406 LINWOOD AVE, BUFFALO, NY 14209 (Tel: 7168867304)

📍
Updated Business Mailing Address July 08, 2007

Registered at 406 LINWOOD AVE, BUFFALO, NY 14209 (Tel: 7168867304)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as EDITH JACOBS, PHD

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

Psychologist (License #009157 in NY)

🟢
Initial NPI Registration & Enumeration April 25, 2007

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: 1346469293
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 25, 2007
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

406 Linwood Ave

Buffalo, NY 14209

Phone: 7168867304

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

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