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

Shawna Jacob, PHD

Individual provider Clinical Neuropsychologist · NPI 1104485929

Shawna Jacob, PHD is a Clinical Psychologist in Fairfield, Ohio. Graduated from University of Cincinnati College of Medicine in 2016, 10 years ago. Practices with Path Neuropsychology, LLC, a 2-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
10
Trained at
University of Cincinnati College of Medicine
Licensed in
OH
In the registry since
2019
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

2812 Mack Rd
Fairfield, OH 45014-5130
Phone: (513) 813-5327
Show map & directions

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

Additional practice locations (2)

  • 4805 Montgomery Rd Ste 210, Cincinnati, OH 45212-2280 — (513) 791-8080
  • 3113 Bellevue Ave, Cincinnati, OH 45219-3158 — (513) 475-8285

Specialties & licences

Clinical Neuropsychologist (primary) Taxonomy 103G00000X · Licence P.07800 (OH)

Record details

NPI number1104485929
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedJune 6, 2019
Last updated in NPPESJuly 29, 2025
Certification dateJuly 29, 2025
Mailing address2812 Mack Rd, Fairfield, OH 45014-5130

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolUNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Graduated 2016 (10 years in practice)
Group practice Path Neuropsychology, Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Fairfield