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

Cecilia Jacobs, PSYD

Individual provider Clinical Psychologist · NPI 1356333678

Cecilia Jacobs, PSYD is a Clinical Psychologist in Fairborn, Ohio. Qualified in 1995, 31 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in Ohio.

Years since qualifying
31
Licensed in
OH
In the registry since
2005
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

2188 Gateway Dr
Fairborn, OH 45324-6356
Phone: (937) 320-5859
Fax: (937) 426-1349
Show map & directions

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

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 5332 (OH)

Record details

NPI number1356333678
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD
Sole proprietorYes
NPI enumeratedAugust 22, 2005
Last updated in NPPESMarch 27, 2008
Mailing address2188 Gateway Dr, Fairborn, OH 45324-6356

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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