Dr. HENRY STEVENSON JACOBSON Psy.D.

11 TEAL RD, BELVEDERE TIBURON, CA, 949202339

atlas:atm_npi_1801745419

Block 1001Block Group 1Census Tract 1230Marin County California United States

What is stored

status: A
address: 11 TEAL RD, BELVEDERE TIBURON, CA, 949202339
npi: 1801745419
license: PSB94027640
taxonomy: Psychologist, Clinical
other names: []
last updated: 2026-01-26
license state: CA
taxonomy code: 103TC0700X
all taxonomies: ["Psychologist, Clinical"]
sole proprietor: YES
enumeration date: 2026-01-26
enumeration type: NPI-1
practice locations: 1

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{
  "npi": "1801745419",
  "status": "A",
  "address": "11 TEAL RD, BELVEDERE TIBURON, CA, 949202339",
  "license": "PSB94027640",
  "taxonomy": "Psychologist, Clinical",
  "other_names": [],
  "last_updated": "2026-01-26",
  "license_state": "CA",
  "taxonomy_code": "103TC0700X",
  "all_taxonomies": [
    "Psychologist, Clinical"
  ],
  "sole_proprietor": "YES",
  "enumeration_date": "2026-01-26",
  "enumeration_type": "NPI-1",
  "practice_locations": 1
}