Susan Vivian Jacob, PHD
Clinical Child & Adolescent Psychologist · Port Washington, NY
Susan Vivian Jacob, PHD is a clinical child & adolescent psychologist with a practice address in Port Washington, New York, and NPI 1467675819, issued on Apr 11, 2007. Check the license (New York 0077981, as entered in NPPES) with the New York board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Susan Vivian Jacob
- Credential
- PHD
- Primary taxonomy
- Clinical Child & Adolescent Psychologist 103TC2200X
- License number
- 0077981 NY
Self-reported in NPPES; status is on the state search - Practice location
- 14 Vanderventer Ave, Port Washington, NY 11050
- Phone
- (516) 944-3786
- Enumerated
- Apr 11, 2007
- Record last updated
- Jul 8, 2007 (not updated in 19 years: call before relying on the address or phone)
- Entity
- Type 1 · individual
8 nearest clinical child & adolescent psychologist records → All 526 in New York → Look up another NPI →
Also registered at 14 Vanderventer Ave
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Ashraf Estafan, DDSProsthodontics1073558631
- Christinaashley Odonnell, LMSWSocial Worker1942163811
- Robin Perlberg, L.AC.Acupuncturist1790924942
- Robert Popkin, DMD MAGDGeneral Practice Dentistry1417181017
- Anita Shashoua, DDSDentist1306071964
- Joseph Shen, M.D.Sports Medicine (Physical Medicine & Rehabilitation) Physician1003942020
Verify Susan Vivian Jacob in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich New York board licenses this profession
Search for license 0077981Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Susan Vivian Jacob among 526 clinical child & adolescent psychologist records in New York
Susan Vivian Jacob, PHD is one of 526 clinical child & adolescent psychologist records with a practice address in New York. 4% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2007, is newer than 10% of them.
- NPI issued2007 · 10% of these records are older, 74% newer
- In a Medicare fileNo · 4% of these records are
- In the CMS Doctors and Clinicians fileNo · 6% of these records are
- Record last updated2007 · 60% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 103TC2200X and a New York practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Clinical Child & Adolescent Psychologist providers in New York
There are 526 clinical child & adolescent psychologist records in New York. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 526 in New York → Every provider in Port Washington → Clinical Child & Adolescent Psychologist nationwide →
The 8 clinical child & adolescent psychologist records with the nearest ZIP codes
- Anita Sethi, PH.D.Port Washington, NY 110501639544968
- Rhonda Yoss-Kaplan, PSY.DPort Washington, NY 110501104096908
- Emily Hirschhorn, PSYDNew Hyde Park, NY 110421881366474
- Erica Koste, PSYDNew Hyde Park, NY 110421215674932
- Susan JacobsonGreat Neck, NY 110231730316167
- Isa Eliasoph, PSY.D.Great Neck, NY 110211073782322
- Valentina Nikulina, PH.D.Franklin Square, NY 110101912212630
- Emily Klass, PHDGlen Oaks, NY 110041124152491
Common questions
What is Susan Vivian Jacob, PHD's NPI number?
Susan Vivian Jacob, PHD's National Provider Identifier (NPI) is 1467675819, issued on Apr 11, 2007. An NPI identifies a provider in billing; it is not a license.
Where is Susan Vivian Jacob, PHD located?
The NPPES record lists a practice address at 14 Vanderventer Ave, Port Washington, NY, 11050. Phone: (516) 944-3786. Providers update this record themselves, so call before visiting.
How can I verify Susan Vivian Jacob, PHD's license?
NPPES lists New York license number 0077981, as entered by the provider. Search the New York board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.