Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Theodore Joseph Jacobs

Individual provider Psychiatry Physician · NPI 1366703761

Dr. Theodore Joseph Jacobs is a Psychiatry Physician in New York, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2012

Practice location Address checks out

18 E 87th St Apt 1E
New York, NY 10128 Not confirmed with CMS for 14 years — call before visiting
Phone: (212) 879-3002
Fax: (914) 725-5877
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 083516 (NY)

Record details

NPI number1366703761
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 1, 2012
Last updated in NPPESJune 1, 2012

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