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

Dr. Jacob J Elliott, PHD

Individual provider Psychologist · NPI 1629065701

Dr. Jacob J Elliott, PHD is a Clinical Psychologist in Sylvania, Ohio. Qualified in 1964, 62 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
62
Licensed in
OH
In the registry since
2005
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

5600 Monroe St Ste 201A
Sylvania, OH 43560-2775
Phone: (419) 885-1910
Fax: (419) 885-5060
Show map & directions

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

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 260 (OH)

Record details

NPI number1629065701
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedOctober 4, 2005
Last updated in NPPESApril 25, 2025
Certification dateApril 17, 2025
Mailing address5600 Monroe St Ste 201a, Sylvania, OH 43560-2775

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1964 (62 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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