Jacob Adal
NPI 1801117072ActiveIndividual· Psychologist, Clinical· Canyon Country, CA
Psychologist, Clinical in Canyon Country, California, licensed in CA, with an NPI issued in June 2010. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1801117072 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Jun 22, 2010 |
| Last updated in NPPES | Nov 19, 2020 |
| Certified by provider | Nov 17, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | PSY28617 | CA |
| Psychologist, Adult Development & Aging | 103TA0700X | PSY28617 | CA |
| Psychologist, Addiction (Substance Use Disorder) | 103TA0400X | PSY28617 | CA |
| Psychologist, Cognitive & Behavioral | 103TB0200X | PSY28617 | CA |
| Psychologist, Counseling | 103TC1900X | PSY28617 | CA |
| Psychologist, Family | 103TF0000X | PSY28617 | CA |
| Psychologist, Group Psychotherapy | 103TP2701X | PSY28617 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (CA) |
|---|
Education and affiliations
| Graduation year | 2013 |
|---|---|
| Medicare specialty | Clinical Psychologist |
Other clinical psychologists in Canyon Country
- 1215485305