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

Individual provider Psychologist · NPI 1366907909

Dr. Jacob Firestone, PSYD is a Psychologist in Philadelphia, Pennsylvania. Licensed in New York and Pennsylvania. Registered with an NPI since 2019.

Licensed in
NY, PA
In the registry since
2019
Specialties on file
3
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

3900 Woodland Ave
Philadelphia, PA 19104-4551
Phone: (215) 823-5800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 022858 (PA)
Psychologist Taxonomy 103T00000X · Licence 022858 (NY)
Clinical Psychologist Taxonomy 103TC0700X · Licence 022858 (NY)

Record details

NPI number1366907909
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYD
Sole proprietorNo
NPI enumeratedFebruary 7, 2019
Last updated in NPPESSeptember 14, 2020
Certification dateSeptember 14, 2020

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