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

Sonia Jacob, DO

Individual provider Psychiatry Physician · NPI 1417517053

Sonia Jacob, DO is a Psychiatry in Washington, District of Columbia. Practices with Lifebulb LLC, a 94-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2019
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

111 Michigan Ave NW
Washington, DC 20010-2916
Phone: (727) 916-1786
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5501 Old York Rd, Philadelphia, PA 19141-3018 — (727) 916-1786

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence OT019242 (PA)

Record details

NPI number1417517053
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorYes
NPI enumeratedJune 17, 2019
Last updated in NPPESJune 21, 2022
Certification dateJune 21, 2022

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Medical schoolOTHER
Group practice Lifebulb Llc — 94 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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