Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Bruce K Jacobson Ph D P C

Adult Mental Health Clinic/Center in Salt Lake City, UT · enumerated 2006 · authorized official Bruce Jacobson, President and Psychologist.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1417913575

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Registry record

Entity type Organization (Type 2)

Legal business name Bruce K Jacobson Ph D P C

Practice address 4190 Highland Dr, Suite 211, Salt Lake City, UT, 84124

Phone (801) 272-0614

Fax (801) 272-0678

Enumeration date Apr 26, 2006

Last updated in NPPES Mar 16, 2018

Taxonomy & classification

261QM0850X Adult Mental Health Clinic/Center Ambulatory Health Care Facilities · License 1162592501 (UT) Primary

Authorized official

Name Bruce Jacobson

Title President and Psychologist

Phone (801) 272-0614

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2018-03-16. Verify at npiregistry.cms.hhs.gov.

Where is Bruce K Jacobson Ph D P C located?

The practice location on file with NPPES is in Salt Lake City, UT.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-03-16.