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

Bonnie Jacobs, PHD

Individual provider Psychologist · NPI 1225169493

Bonnie Jacobs, PHD is a Clinical Psychologist in Manorville, New York. Qualified in 1989, 37 years ago. Offers telehealth. Licensed in New York.

Years since qualifying
37
Licensed in
NY
In the registry since
2007
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Practice location Address checks out

15 Evergreen Dr
Manorville, NY 11949-3215
Phone: (631) 444-2938
Show map & directions

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

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 010569 (NY)

Record details

NPI number1225169493
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedMarch 8, 2007
Last updated in NPPESJuly 8, 2007
Mailing addressPo Box 826, East Setauket, NY 11733-0636

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1989 (37 years in practice)
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

Other providers in Manorville