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NPISignal

Individual Healthcare Provider

Susan E. Jacobson, NP

NPI Record: ActiveRegistered Nurse — Psychiatric/Mental Health, Adult
NPI1063541977
Fairfax, Virginia

Provider's NPPES record last updated: March 9, 2011

Overview

Entity Type
Individual Healthcare Provider
NPI
1063541977
Primary Specialty
Registered Nurse — Psychiatric/Mental Health, Adult
Practice Location
Fairfax, Virginia
Sole Proprietor
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 19, 2026, 7:52 AM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Registered Nurse

    Psychiatric/Mental Health, Adult

    Nursing Service Providers

    Primary

    Definition to come...

    Taxonomy code 163WP0809X
  • Nurse Practitioner

    Psychiatric/Mental Health

    Physician Assistants & Advanced Practice Nursing Providers

    Definition to come...

    Taxonomy code 363LP0808X
  • Clinical Nurse Specialist

    Psychiatric/Mental Health, Adult

    Physician Assistants & Advanced Practice Nursing Providers

    Definition to come...

    Taxonomy code 364SP0809X

Provider-Reported License Information

Registered Nurse (Virginia)
001500246
Nurse Practitioner (Virginia)
0024167284
Clinical Nurse Specialist (Virginia)
0015000246
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

3020 Javier Rd

Inova Behavioral Health

Fairfax, Virginia 22031-4609

Phone: (703) 289-7585

Record Information

Enumeration Date
March 5, 2007
Provider's NPPES Record Last Updated
March 9, 2011
NPISignal NPPES Dataset
August 2026

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