Active NPI
Peter John Adler, ED.D.
- Psychologist
- Northridge, CA
National Provider Identifier
1073671343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY7939
- Practice address
- 17075 Devonshire St Ste 204
Northridge, CA 91325 - Phone
- (310) 284-4893
- NPI assigned
- Dec 5, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY7939 | CA | Primary |
Addresses
Primary practice location
17075 Devonshire St Ste 204
Northridge, CA 91325
Mailing address
10410 Amestoy Ave
Granada Hills, CA 91344-6225
Phone (310) 284-4893
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY7939 | CA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531785600000",
"number": "1073671343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10410 AMESTOY AVE",
"city": "GRANADA HILLS",
"state": "CA",
"postal_code": "913446225",
"telephone_number": "310-284-4893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17075 DEVONSHIRE ST STE 204",
"city": "NORTHRIDGE",
"state": "CA",
"postal_code": "91325",
"telephone_number": "310-284-4893"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADLER",
"first_name": "PETER",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "ED.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-05",
"last_updated": "2018-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY7939",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Northridge, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.