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

Dr. Jacob Raphael Eleazer, PHD

Individual provider Counseling Psychologist · NPI 1598190076

Dr. Jacob Raphael Eleazer, PHD is a Clinical Psychologist in Jacksonville, Florida. Qualified in 2019, 7 years ago. Practices with Mayo Clinic Jacksonville, a 1,581-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Connecticut and Florida.

Years since qualifying
7
Licensed in
CT, FL
In the registry since
2013
Specialties on file
2
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

4500 San Pablo Rd S
Jacksonville, FL 32224-1865
Phone: (904) 953-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 950 Campbell Ave, West Haven, CT 06516-2770 — (203) 427-7617

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PY11543 (FL)
Counseling Psychologist Taxonomy 103TC1900X · Licence 8.004015 (CT)

Record details

NPI number1598190076
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedSeptember 4, 2013
Last updated in NPPESAugust 15, 2022
Certification dateAugust 15, 2022
Mailing address4500 San Pablo Rd S, Jacksonville, FL 32224-1865

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Mayo Clinic Jacksonville — 1581 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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