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

Samantha Jacobson, PSYD

Individual provider Cognitive & Behavioral Psychologist · NPI 1912849860

Samantha Jacobson, PSYD is a Cognitive & Behavioral Psychologist in Prescott Valley, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2026
Specialties on file
3
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

See every abbreviation used in this directory →

Practice location Address checks out

8652 E Eastridge Rd Ste 201
Prescott Valley, AZ 86314-9464
Phone: (928) 830-2410
Show map & directions

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

Specialties & licences

Clinical Neuropsychologist (primary) Taxonomy 103G00000X · Licence 005707 (AZ)
Cognitive & Behavioral Psychologist Taxonomy 103TB0200X · Licence 005707 (AZ)
Clinical Psychologist Taxonomy 103TC0700X · Licence 005507 (AZ)

Record details

NPI number1912849860
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD
Sole proprietorYes
NPI enumeratedApril 8, 2026
Last updated in NPPESApril 8, 2026
Certification dateApril 8, 2026