Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Kristin Keli Jacobson Pura, PSYD, ABPP

Individual provider Psychologist · NPI 1548493760

Dr. Kristin Keli Jacobson Pura, PSYD, ABPP is a Clinical Psychologist in Tracy, California. Qualified in 2013, 13 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in California.

Years since qualifying
13
Licensed in
CA
In the registry since
2009
Specialties on file
2
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

2185 W Grant Line Rd
Tracy, CA 95377-7309
Phone: (209) 839-6282
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Neuropsychologist (primary) Taxonomy 103G00000X · Licence PSY26477 (CA)
Psychologist Taxonomy 103T00000X · Licence PSY26477 (CA)

Record details

NPI number1548493760
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD , ABPP
Sole proprietorYes
NPI enumeratedSeptember 3, 2009
Last updated in NPPESOctober 21, 2022
Certification dateOctober 21, 2022

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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