Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Joseph Daniel Jacobs, PHD, BCBA-D

Individual provider Behavior Analyst · NPI 1629461314

Dr. Joseph Daniel Jacobs, PHD, BCBA-D is a Clinical Psychologist in Los Angeles, California. Qualified in 2014, 12 years ago. Accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
12
Licensed in
CA
In the registry since
2015
Specialties on file
3
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

12304 Santa Monica Blvd Ste 315
Los Angeles, CA 90025-2551
Phone: (310) 957-5126
Fax: (323) 272-4076
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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 PSY33549 (CA)
Behavior Analyst Taxonomy 103K00000X
Psychologist Taxonomy 103T00000X · Licence PSY33549 (CA)

Record details

NPI number1629461314
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD , BCBA-D
Sole proprietorNo
NPI enumeratedMarch 5, 2015
Last updated in NPPESMarch 26, 2023
Certification dateMarch 26, 2023
Mailing address16350 Ventura Blvd Ste D147, Encino, CA 91436-5300

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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