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

Individual provider Psychologist · NPI 1528087855

Jacob Ethan Small, PHD is a Psychologist in New York, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2006
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

286 Madison Ave Ste 1602
New York, NY 10017 Not confirmed with CMS for 18 years — call before visiting
Phone: (917) 704-3761
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 0156821 (NY)

Record details

NPI number1528087855
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedJuly 18, 2006
Last updated in NPPESApril 29, 2008

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