Adal Heart2Heart Psychotherapy Services, Inc.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY28617 Issued in CA

Legal business name

ADAL HEART2HEART PSYCHOTHERAPY SERVICES, INC.

Practice address

16654 Soledad Canyon Rd Ste 204
Canyon Country, CA 91387-3217

Phone

(661) 270-6644

NPI assigned

Sep 16, 2016

Last updated

Nov 19, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jacob Adal, PSY.D.NPI 1801117072

Title

President

Phone

(661) 270-6644

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jacob Adal

  • Clinical Psychologist
  • Canyon Country, CA
  • NPI 1801117072
  Medicare reassignment Authorized official
• Nicole Michelle Adal

  • Marriage & Family Therapist
  • Lancaster, CA
  • NPI 1689015133
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1473984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605744000000",
    "number": "1215485305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16654 SOLEDAD CANYON RD",
            "address_2": "SUITE 204",
            "city": "CANYON COUNTRY",
            "state": "CA",
            "postal_code": "913873217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16654 SOLEDAD CANYON RD STE 204",
            "city": "CANYON COUNTRY",
            "state": "CA",
            "postal_code": "913873217",
            "telephone_number": "661-270-6644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADAL HEART2HEART PSYCHOTHERAPY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-16",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-17",
        "status": "A",
        "authorized_official_last_name": "ADAL",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "661-270-6644",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY28617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 7 Keyz LLC (Casa Abelia)
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• Raquel Acosta, LMFT
• Jacob Adal
• Ronaldo Buhay Agatep
• Tarannum Alam, MD.
• Albertsons LLC (Savon Pharmacy)
• Alexander Lee Dental Corporation

• Clinical Psychologist in Canyon Country, CA
• Providers in Canyon Country, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.