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JACOB ADAL NPI 1801117072


NPI Information

NPI: 1801117072
Provider Name: JACOB ADAL
Classification: Psychologist - 103TC0700X
Entity Type: Individual

Specialization: Clinical

PECOS Registration: Yes

Address:
16654 SOLEDAD CANYON RD
SUITE 204
CANYON COUNTRY, CA
ZIP 91387
Phone: (661) 270-6644
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Jacob Adal is a clinical psychologist in Canyon Country, CA. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. Jacob Adal NPI is 1801117072. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

16654 SOLEDAD CANYON RD
SUITE 204
CANYON COUNTRY, CA
ZIP 91387-217
Phone: (661) 270-6644

The NPI 1801117072 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 6/22/2010 and was last updated on 11/19/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TA0400XPsychologistAddiction (Substance Use Disorder)PSY28617CALIFORNIANo
2103TA0700XPsychologistAdult Development & AgingPSY28617CALIFORNIANo
3103TB0200XPsychologistCognitive & BehavioralPSY28617CALIFORNIANo
4103TC0700XPsychologistClinicalPSY28617CALIFORNIAYes
5103TC1900XPsychologistCounselingPSY28617CALIFORNIANo
6103TF0000XPsychologistFamilyPSY28617CALIFORNIANo
7103TP2701XPsychologistGroup PsychotherapyPSY28617CALIFORNIANo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.