Individual provider · Type 1 NPI

Justin Jacobs

Clinical Psychologist · Clackamas, OR

NPI number 1801522420 Active

Practice location

10151 SE Sunnyside Rd Ste 480
Clackamas, OR 97015-5705

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist 103TC0700XR272 (OR)
Clinical Psychologist Primary 103TC0700X4321 (OR)
Mental Health Counselor 101YM0800XNone listed
Case Manager/Care Coordinator 171M00000XNone listed

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1801522420

Justin Jacobs's National Provider Identifier is 1801522420, issued on Jul 26, 2022. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Clackamas, OR. The record was last updated on Jul 30, 2026.