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

Jacob A Zimmerman, PHD

Individual provider Clinical Psychologist · NPI 1811693351

Jacob A Zimmerman, PHD is a Clinical Psychologist in Boise, Idaho. Qualified in 2021, 5 years ago. Practices with Cornerstone Psychological Associates, PLLC, an 8-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Idaho and Minnesota.

Years since qualifying
5
Licensed in
ID, MN
In the registry since
2023
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Practice location Address checks out

1755 N Westgate Dr Ste 260
Boise, ID 83704-7176
Phone: (208) 373-0790
Fax: (208) 373-0816
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PSY203864 (ID)
Clinical Psychologist Taxonomy 103TC0700X · Licence LP6892 (MN)

Record details

NPI number1811693351
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedFebruary 6, 2023
Last updated in NPPESAugust 14, 2024
Certification dateAugust 14, 2024

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Cornerstone Psychological Associates, Pllc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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