NPI 1942889969 · live from the CMS NPI Registry
Matthew L. Jacobson, MD
Psychiatry & Neurology, Neurology in Fargo, ND. National Provider Identifier 1942889969, active.
NPI record
| NPI | 1942889969 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Neurology 2084N0400X |
| Practice location | 2301 25th St S, Fargo, ND 58103 |
| Practice phone | 701-417-6130 |
| Mailing address | Po Box 5074, Sioux Falls, SD 57117 |
| Enumerated | April 6, 2021 |
| Last updated | August 13, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry & Neurology, Neurology primary | 2084N0400X | PT24837 (ND) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.