Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Scott Michael Jacoby, PHD

Individual provider Cognitive & Behavioral Psychologist · NPI 1073826913

Dr. Scott Michael Jacoby, PHD is a Cognitive & Behavioral Psychologist in Minneapolis, Minnesota. Licensed in Minnesota. Registered with an NPI since 2010.

Licensed in
MN
In the registry since
2010
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

2110 Lyndale Ave S
Minneapolis, MN 55405-3196
Phone: (952) 353-5931
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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 5269 (MN)
Cognitive & Behavioral Psychologist Taxonomy 103TB0200X · Licence 5269 (MN)
Group Psychotherapy Psychologist Taxonomy 103TP2701X · Licence 5269 (MN)

Record details

NPI number1073826913
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedJuly 20, 2010
Last updated in NPPESJuly 20, 2010

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