NPPES file of Aug 9, 2026

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.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1467675819
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
Public record from CMS NPPES (open it on the CMS NPI Registry). A record is not a license: verify it with the state board.
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Also registered at 14 Vanderventer Ave

A shared address usually means a shared clinic or building; it does not show who employs whom.

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Verify Susan Vivian Jacob in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich New York board licenses this profession
    Search for license 0077981
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the New York license search

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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.

The 8 clinical child & adolescent psychologist records with the nearest ZIP codes

  1. Anita Sethi, PH.D.Port Washington, NY 110501639544968
  2. Rhonda Yoss-Kaplan, PSY.DPort Washington, NY 110501104096908
  3. Emily Hirschhorn, PSYDNew Hyde Park, NY 110421881366474
  4. Erica Koste, PSYDNew Hyde Park, NY 110421215674932
  5. Susan JacobsonGreat Neck, NY 110231730316167
  6. Isa Eliasoph, PSY.D.Great Neck, NY 110211073782322
  7. Valentina Nikulina, PH.D.Franklin Square, NY 110101912212630
  8. 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.