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

Dr. Krystal Jacob, PSYD

Individual provider Clinical Psychologist · NPI 1770726739

Dr. Krystal Jacob, PSYD is a Clinical Psychologist in Arcata, California. Qualified in 2011, 15 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
15
Licensed in
CA
In the registry since
2009
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

381 Bayside Rd Ste B
Arcata, CA 95521-7102
Phone: (707) 616-6147
Fax: (707) 297-3035
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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 PSY25790 (CA)

Record details

NPI number1770726739
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD
Sole proprietorYes
NPI enumeratedApril 7, 2009
Last updated in NPPESJanuary 8, 2023
Certification dateJanuary 8, 2023
Mailing addressPo Box 799, Arcata, CA 95518-0799

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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