Jacob Ethan Small is a New York, New York based psychologist who is specialized in General Psychology. Active license number of Jacob Ethan Small is 0156821 for General Psychology in New York. His current practice location is 286 Madison Avenue, Suite 1602, New York. Patients can reach him at 917-704-3761. Jacob Ethan Small is PH.D. in General Psychology and his NPI number (Unique professional ID assigned by NPPES) is 1528087855.
Jacob Ethan Small is specialized in psychological testing and evaluating or assessing patient's personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning. Accordingly, he performs counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy. He can diagnose and treat mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability by psycheducational evaluation, therapy, remediation, and consultation.
Complete Profile:
Jacob Ethan Small speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Jacob Ethan Small |
| Specialization: | General Psychology |
| Gender: | Male |
| Credentials: | PH.D. |
| Practice Address: | 286 Madison Avenue, Suite 1602, New York,
New York, 10017 |
| Phone: | 917-704-3761 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1528087855 |
| NPI Enumeration Date: | 18 Jul, 2006 |
| NPI Last Update On: | 29 Apr, 2008 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jacob Ethan Small are as mentioned below.
| License Number | Specialization | State | Status | |
| 0156821 | General Psychology | New York | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Jacob Ethan Small such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 02567971 | Medicaid | New York | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Jacob Ethan Small
286 Madison Avenue, Suite 1602
New York, New York |
| Zip: | 10017 |
| Phone Number: | 917-704-3761 |
Patients can reach Jacob Ethan Small at
286 Madison Avenue, Suite 1602, New York, New York or can
call to book an appointment on 917-704-3761.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.