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

Dr. Charles Jason Jacob, PHD

Individual provider Psychologist · NPI 1063600195

Dr. Charles Jason Jacob, PHD is a Psychologist in Havertown, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania.

Licensed in
PA
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.

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Practice location Address checks out

33 Sycamore Rd
Havertown, PA 19083-4406
Phone: (412) 596-3870
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence PS017732 (PA)

Record details

NPI number1063600195
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedOctober 15, 2007
Last updated in NPPESJune 1, 2023
Certification dateJune 1, 2023

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