Jacob Adal
Jacob Adal is a Clinical Psychologist in Canyon Country, California. Qualified in 2013, 13 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in California.
- Years since qualifying
- 13
- Licensed in
- CA
- In the registry since
- 2010
- Specialties on file
- 7
Practice location Address checks out
16654 Soledad Canyon Rd Ste 204Canyon Country, CA 91387-3217
Phone: (661) 270-6644
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Psychologist (primary) | Taxonomy 103TC0700X · Licence PSY28617 (CA) |
|---|---|
| Adult Development & Aging Psychologist | Taxonomy 103TA0700X · Licence PSY28617 (CA) |
| Addiction (Substance Use Disorder) Psychologist | Taxonomy 103TA0400X · Licence PSY28617 (CA) |
| Cognitive & Behavioral Psychologist | Taxonomy 103TB0200X · Licence PSY28617 (CA) |
| Counseling Psychologist | Taxonomy 103TC1900X · Licence PSY28617 (CA) |
| Family Psychologist | Taxonomy 103TF0000X · Licence PSY28617 (CA) |
| Group Psychotherapy Psychologist | Taxonomy 103TP2701X · Licence PSY28617 (CA) |
Record details
| NPI number | 1801117072 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | June 22, 2010 |
| Last updated in NPPES | November 19, 2020 |
| Certification date | November 17, 2020 |
| Mailing address | 16654 Soledad Canyon Rd Ste 204, Canyon Country, CA 91387-3217 |
Medicare enrollment
| Medicare specialty | CLINICAL PSYCHOLOGIST |
|---|---|
| Medical school | OTHER |
| Graduated | 2013 (13 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |