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NPISignal

Individual Healthcare Provider

Susan Lynn Jacobs, BCBA

NPI Record: ActivePsychologist — Family
NPI1467596106
Dover, Delaware

Provider's NPPES record last updated: June 21, 2023

Overview

Entity Type
Individual Healthcare Provider
NPI
1467596106
Primary Specialty
Psychologist — Family
Practice Location
Dover, Delaware
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, 5:20 PM 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

  • Psychologist

    Family

    Behavioral Health & Social Service Providers

    Primary

    A psychologist whose specialty is founded on principles of systems theory with the interpersonal system of the family the focus of assessment, intervention and research.

    Taxonomy code 103TF0000X
  • Behavior Analyst

    Behavioral Health & Social Service Providers

    A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

    Taxonomy code 103K00000X

Provider-Reported License Information

Behavior Analyst (Delaware)
1-18-30404
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

1012 College Rd Ste 103

Dover, Delaware 19904-6506

Phone: (484) 681-2170

Additional Practice Location

219 Old North Road

Camden, Delaware 19934

Phone: (302) 697-2173

Additional Practice Location

100 Enterprise Pl Ste 100

Dover, Delaware 19904-8202

Phone: (302) 678-3353

Fax: (302) 678-9245

Record Information

Enumeration Date
February 16, 2007
Provider's NPPES Record Last Updated
June 21, 2023
Certification Date
June 21, 2023
NPISignal NPPES Dataset
August 2026

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