MEDICARE: JACOBS NEUROBEHAVIORAL CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1871446070
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JACOBS NEUROBEHAVIORAL CENTER

Provider Business Mailing Address
First Line	:	12304 SANTA MONICA BLVD STE 315
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90025-2551
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	12304 SANTA MONICA BLVD STE 315
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90025-2551
Country	:	US
Telephone Number	:	818-571-2285
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	DR. JOSEPH JACOBS
Credential	:	PHD
Telephone Number	:	818-571-2285

Provider Enumeration Date	:	02/17/2026
Last Update Date	:	02/17/2026

Similar Medicare Providers

1992740807 — DR. JOY E. CARTER-CHASTAIN PH.D.
Practice Location Address:

12304 SANTA MONICA BLVD , # 215-A
LOS ANGELES, CA
90025-2551

Practice Phone: 310-785-7176
Practice Fax: 310-820-4432

1316983562 — DR. RONALD CHARLES BOUTELLE PHD, PSYD
Practice Location Address:

12304 SANTA MONICA BLVD , SUITE 106
LOS ANGELES, CA
90025-2551

Practice Phone: 310-317-6784
Practice Fax: 310-317-6784

1902833932 — DR. THOMAS MARCY BROD MD
Practice Location Address:

12304 SANTA MONICA BLVD , #210
LOS ANGELES, CA
90025-2551

Practice Phone: 310-207-3337
Practice Fax:

1306851076 — BEHNAM PARTOVI PHD
Practice Location Address:

12304 SANTA MONICA BLVD , # 315
LOS ANGELES, CA
90025-2551

Practice Phone: 310-930-7500
Practice Fax: 310-453-3909

1336155290 — DR. TARA LEE KELLY PH.D.
Practice Location Address:

12304 SANTA MONICA BLVD , SUITE 106
LOS ANGELES, CA
90025-2551

Practice Phone: 310-559-3629
Practice Fax: 310-559-3620

1033127824 — RICHARD ALAN GOTTFRIED MFT
Practice Location Address:

12304 SANTA MONICA BLVD , SUITE 215
LOS ANGELES, CA
90025-2551

Practice Phone: 310-207-5177
Practice Fax: 310-207-7919

Directions to “JACOBS NEUROBEHAVIORAL CENTER ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.