Dr. Jonathan M Jacobson, MD
Psychiatry & Neurology, Child & Adolescent Psychiatry in Rutland, Massachusetts
1336196716- Practice location
- 60 Miles RD, Rutland, MA 01543-1423
- Phone
- 508-886-4746
- Fax
- 508-886-9020
- Last updated
- September 11, 2026
Jonathan M Jacobson is a Psychiatry & Neurology, Child & Adolescent Psychiatry based in Rutland, MA. Jonathan M Jacobson practices in Rutland, MA and has the professional credentials of MD. The NPI Number for Jonathan M Jacobson is 1336196716 and holds a License No. 227913 (MA). The current practice location address for Jonathan M Jacobson is 60 Miles RD, Rutland, MA 01543-1423 and can be reached out via phone at 508-886-4746 and via fax at 508-886-9020.
Provider Profile Details
- NPI Number
- 1336196716
- Provider Name
- Jonathan M Jacobson
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 60 Miles RD, Rutland, MA 01543-1423
- Phone Number
- 508-886-4746
- Fax Number
- 508-886-9020
- Primary Taxonomy
- Psychiatry & Neurology, Child & Adolescent Psychiatry · 2084P0804X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 30, 2006
- Last Update Date
- September 11, 2026
- Certification Date
- September 11, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 60 Miles RD
Rutland, MA 01543-1423 - City
- Rutland
- State
- Massachusetts
- Zip
- 01543-1423
- Phone Number
- 508-886-4746
- Fax Number
- 508-886-9020
Provider Business Mailing Address Details
- Address
- 148 Worcester St
West Boylston, MA 01583-1751 - City
- West Boylston
- State
- MA
- Zip
- 01583-1751
- Phone Number
- 508-835-1735
- Fax Number
- 508-835-1736
License Information
- License Number (1)
- 227913
- License State (1)
- MA
- Taxonomy (1)
- Psychiatry & Neurology, Child & Adolescent Psychiatry · 2084P0804X · Primary
- License Number (2)
- 227913
- License State (2)
- MA
- Taxonomy (2)
- Psychiatry & Neurology, Psychiatry · 2084P0800X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Psychiatry & Neurology, Child & Adolescent Psychiatry providers near Rutland, MA
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Frequently Asked Questions
What is the NPI number of Dr. Jonathan M Jacobson, MD?
The NPI number of Dr. Jonathan M Jacobson, MD is 1336196716. It was assigned on May 30, 2006 and is currently active in the NPPES registry.
What is the specialty of Dr. Jonathan M Jacobson, MD?
Dr. Jonathan M Jacobson, MD is registered under the primary taxonomy Psychiatry & Neurology, Child & Adolescent Psychiatry (code 2084P0804X), licensed in MA under license number 227913.
Where does Dr. Jonathan M Jacobson, MD practice?
The practice location is 60 Miles RD, Rutland, MA 01543-1423. The office can be reached at 508-886-4746 (phone) or 508-886-9020 (fax).
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 1336196716 directly on the NPPES registry website.