Dr. Jacob M Lister, MD, PHD
Psychiatry & Neurology, Child & Adolescent Psychiatry in New Haven, Connecticut
1063155588- Practice location
- 230 S Frontage RD, New Haven, CT 06519-1124
- Phone
- 203-737-7129
- Fax
- —
- Last updated
- August 24, 2026
Jacob Michael Kayle Lister is a Psychiatry & Neurology, Child & Adolescent Psychiatry based in New Haven, CT. Jacob Michael Kayle Lister practices in New Haven, CT and has the professional credentials of MD, PHD. The NPI Number for Jacob Michael Kayle Lister is 1063155588 and holds a License No. 78962 (CT). The current practice location address for Jacob Michael Kayle Lister is 230 S Frontage RD, New Haven, CT 06519-1124 and can be reached out via phone at 203-737-7129.
Provider Profile Details
- NPI Number
- 1063155588
- Provider Name
- Jacob Michael Kayle Lister
- Credential
- MD, PHD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 230 S Frontage RD, New Haven, CT 06519-1124
- Phone Number
- 203-737-7129
- Primary Taxonomy
- Psychiatry & Neurology, Child & Adolescent Psychiatry · 2084P0804X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- April 14, 2022
- Last Update Date
- August 24, 2026
- Certification Date
- August 24, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 230 S Frontage RD
New Haven, CT 06519-1124 - City
- New Haven
- State
- Connecticut
- Zip
- 06519-1124
- Phone Number
- 203-737-7129
Provider Business Mailing Address Details
- Address
- 230 S Frontage RD
New Haven, CT 06519-1124 - City
- New Haven
- State
- CT
- Zip
- 06519-1124
- Phone Number
- 203-737-7129
License Information
- License Number
- 78962
- License State
- CT
- Taxonomy
- Psychiatry & Neurology, Child & Adolescent Psychiatry · 2084P0804X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Jacob M Lister, MD, PHD?
The NPI number of Dr. Jacob M Lister, MD, PHD is 1063155588. It was assigned on April 14, 2022 and is currently active in the NPPES registry.
What is the specialty of Dr. Jacob M Lister, MD, PHD?
Dr. Jacob M Lister, MD, PHD is registered under the primary taxonomy Psychiatry & Neurology, Child & Adolescent Psychiatry (code 2084P0804X), licensed in CT under license number 78962.
Where does Dr. Jacob M Lister, MD, PHD practice?
The practice location is 230 S Frontage RD, New Haven, CT 06519-1124. The office can be reached at 203-737-7129 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063155588 directly on the NPPES registry website.