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

Dr. Marilyn Susan Jacobs, PHD

Individual provider Psychologist · NPI 1568595544

Dr. Marilyn Susan Jacobs, PHD is a Psychologist in Los Angeles, California. Practices as a sole proprietor. Licensed in California, Michigan and New York.

Licensed in
CA, MI, NY
In the registry since
2007
Specialties on file
4
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

1626 Westwood Blvd #104
Los Angeles, CA 90024-5621
Phone: (310) 428-3667
Fax: (310) 552-2151
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence PSY11463 (CA)
Psychologist Taxonomy 103T00000X · Licence 020945-01 (NY)
Psychologist Taxonomy 103T00000X · Licence 6301018613 (MI)
Clinical Psychologist Taxonomy 103TC0700X · Licence PSY11463 (CA)

Record details

NPI number1568595544
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorYes
NPI enumeratedMarch 13, 2007
Last updated in NPPESSeptember 9, 2022
Certification dateSeptember 9, 2022

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