Jaclyn Jacobi, MD
Jaclyn Jacobi, MD is a Clinical Neurophysiology Physician in Phoenix, AZ, registered under NPI 1861856213. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.
Getting there
The practice address on file is 222 W THOMAS RD STE 304, Phoenix, AZ 85013. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 66324 | AZ | Clinical Neurophysiology Physician primary |
This provider holds licence 66324 issued in AZ. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Practitioner - Neurology
- PAC ID
- 5496047573
- Enrollment ID
- I20220718002397
Medicare enrolment is recorded as approved under the provider type Practitioner - Neurology. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Clinical Neurophysiology covers
Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS). NUCC Health Care Provider Taxonomy, code 2084N0600X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 2084N0600X | Clinical Neurophysiology Physician Clinical Neurophysiology | 66324 | AZ | primary |
| 390200000X | Student in an Organized Health Care Education/Training Program | — | — |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1861856213 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Apr 12, 2016 |
| Last updated | Jul 12, 2023 |
| Status | Active |
| Sole proprietor | No |
| Credential | MD |
| Practice address |
222 W THOMAS RD STE 304 Phoenix, AZ 85013 (602) 406-6262 Fax (602) 406-6261 |
| Mailing address |
5777 E MAYO BLVD Phoenix, AZ 85054 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 8 | 6 | 1 | 8 | 5 | 6 | 2 | 1 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 8 | 3 | 1 | 7 | 5 | 3 | 2 | 2 |
Sum = 57 · next multiple of 10 = 60 · check digit = 3 · actual last digit = 3
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.