Individual provider Active NPI

Adam Stivala, MD

  • Psychiatry Physician
  • Chicago, IL
National Provider Identifier
1467738617
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD-20270 Issued in HI
Practice address
720 N Franklin St Ste 401
Chicago, IL 60654-7212
Phone
(856) 288-9612
NPI assigned
Nov 1, 2011
Last updated
Mar 12, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 25MA10502700 NJ
Psychiatry Physician 2084P0800X MED-PHYS-LIC-79647 MT
Psychiatry Physician 2084P0800X ME142842 FL
Psychiatry Physician 2084P0800X A197909 CA
Psychiatry Physician 2084P0800X MD-20270 HI Primary
Military Health Care Provider 171000000X

Addresses

Primary practice location

720 N Franklin St Ste 401
Chicago, IL 60654-7212

Mailing address

86-260 Farrington Hwy
Waianae, HI 96792-3128
Phone (808) 697-3300

Other practice location 1

1356 Lusitana St Fl 4
Honolulu, HI 96813-2409
Phone (908) 902-3003

Other practice location 2

655 E Jersey St
Elizabeth, NJ 07206-1259
Phone (908) 994-7325

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, HI, FL, CA, MD5 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20200402001841 NJ Practitioner - Psychiatry 7315376910 Reassigns benefits to 4 organizations
I20210715003802 HI Practitioner - Psychiatry 7315376910 Reassigns benefits to 5 organizations
I20211118000306 FL Practitioner - Psychiatry 7315376910 Reassigns benefits to 2 organizations
I20241108002185 CA Practitioner - Psychiatry 7315376910 Reassigns benefits to 5 organizations
I20241219002779 MD Practitioner - Psychiatry 7315376910 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nchmd IncGroup PAC ID 9436139565, 503 clinicians
Queens University Medical GroupGroup PAC ID 2466831557, 614 clinicians
Kapiolani Medical SpecialistsGroup PAC ID 0648183988, 103 clinicians
Center for Family Guidance PCGroup PAC ID 2860396454, 164 clinicians

Practice addresses (Care Compare)

11190 Health Park Blvd
Naples, FL 34110-5729
Phone (239) 552-7000

1200 7TH Ave N
St Petersburg, FL 33705-1300
Phone (727) 532-1355

1301 Punchbowl St
Honolulu, HI 96813-2499

1319 Punahou St
Honolulu, HI 96826-1001
Phone (808) 983-6000

1380 Lusitana St
Honolulu, HI 96813-2448

3001 W Dr Martin Luther King Jr Blvd
Tampa, FL 33607-6307
Phone (727) 532-1355

4211 Van Dyke Rd
Lutz, FL 33558-8005
Phone (727) 532-1355

601 Main St
Dunedin, FL 34698-5848
Phone (727) 281-9065

765 Route 70 E
BLDG a
Marlton, NJ 08053-2341
Phone (856) 983-3900

98 -1079 Moanalua Rd
Aiea, HI 96701-4713
Phone (808) 486-6000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A197909CAMDPsychiatry Physician
ME142842FLMDPsychiatry Physician
25MA10502700NJMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nchmd, Inc CurrentSince Jul 1, 2025 Accepting new patients
Cedars-Sinai Medical Care Foundation CurrentSince May 5, 2025 Accepting new patients
Kapiolani Medical Specialists CurrentSince Jun 14, 2024 Accepting new patients
Virginia Mason Medical Center Psychiatry CurrentSince Aug 21, 2021 Accepting new patients
The Huntington Medical Foundation Psychiatry CurrentSince Mar 1, 2025 Accepting new patients
Physician Partners of Englewood, PC CurrentSince Apr 1, 2025 Accepting new patients
The Queens Medical Center CurrentSince Nov 1, 2021 Accepting new patients
Baycare Behavioral Health Associates LLC Psychiatry CurrentSince Nov 15, 2021 Accepting new patients
Waianae District Comprehensive Health and Hospital Board, Inc Psychiatry Current Accepting new patients
Cedars-Sinai Medical Care Foundation CurrentSince May 5, 2025 Accepting new patients
Martin Luther King Jr Community Medical Foundation CurrentSince Nov 4, 2024 Accepting new patients
Martin Luther King Jr Community Medical Foundation CurrentSince Nov 4, 2024 Accepting new patients
Cedars-Sinai Medical Center CurrentSince May 5, 2025 Accepting new patients
University of Maryland Community Medical Group, Inc. Current Accepting new patients
The Queen's Medical Center Current Accepting new patients
Trinitas Regional Medical Center CurrentSince Sep 1, 2020 Accepting new patients
The Queens Medical Center CurrentSince Nov 1, 2021 Accepting new patients
Trinitas Regional Medical Center CurrentSince Sep 1, 2020 Accepting new patients
Cedars-Sinai Medical Center CurrentSince May 5, 2025 Accepting new patients
Waianae District Comprehensive Health and Hospital Board, Inc CurrentSince Jul 6, 2021 Accepting new patients
University of Maryland Community Medical Group, Inc. Psychiatry CurrentSince Dec 1, 2024 Accepting new patients
Darin Rentz DO PC Psychiatry CurrentSince Nov 15, 2024 Accepting new patients
Waianae District Comprehensive Health and Hospital Board, Incorporated CurrentSince Jul 6, 2021 Accepting new patients
Virginia Mason Medical Center CurrentSince Aug 21, 2021 Accepting new patients
Nchmd Inc CurrentSince Jul 1, 2025 Accepting new patients
Labyrinth Psychiatry Group LLC Psychiatry CurrentSince Jul 28, 2020 Accepting new patients
Queens University Medical Group CurrentSince Apr 22, 2022 Accepting new patients
Medical Associates of Englewood, PC CurrentSince Apr 1, 2025 Accepting new patients
Baycare Behavioral Health Associates LLC Psychiatry CurrentSince Nov 15, 2021 Accepting new patients
Tri-State Memorial Hospital Past Accepting new patients
The Huntington Medical Foundation Past Accepting new patients
Kapiolani Medical Center for Women & Children Past Accepting new patients

Locations (25 of 31)

600 N Highland Springs Ave
Banning, CA 92220
Phone (833) 443-6287

135 E Compton Blvd
Compton, CA 90220
Phone (424) 296-3800

2215 W Rosecrans Ave
Ste 22
Compton, CA 90222
Phone (424) 529-6755

2251 W Rosecrans Ave
Ste 21
Compton, CA 90222
Phone (424) 338-8792

8635 W 3rd St
Ste 465W
Los Angeles, CA 90048
Phone (310) 423-0674

100 W California Blvd
Pasadena, CA 91105
Phone (626) 397-3445

65 N Madison Ave
Ste 800
Pasadena, CA 91101
Phone (626) 792-3141

350 Terracina Blvd
Redlands, CA 92373
Phone (909) 335-5500

4650 Lincoln Blvd
Venice, CA 90292
Phone (310) 264-2561

8700 Beverly Blvd
West Hollywood, CA 90048
Phone (310) 385-3291

4211 Van Dyke Rd
Lutz, FL 33558
Phone (813) 443-2010

11190 Health Park Blvd
Naples, FL 34110
Phone (239) 300-9721

350 7th St N
Naples, FL 34102
Phone (239) 436-5000

680 2nd Ave N
Ste 304
Naples, FL 34102
Phone (239) 261-7711

6600 Madison St
New Pt Richey, FL 34652
Phone (727) 841-4611

3503 E Frontage Rd
Tampa, FL 33607
Phone (813) 586-8187

1301 Punchbowl St
Honolulu, HI 96813
Phone (808) 538-9011

1319 Punahou St
Honolulu, HI 96826
Phone (808) 485-4300

1380 Lusitana St
Ste 913
Honolulu, HI 96813
Phone (808) 691-8521

550 S Beretania St
Ste 404
Honolulu, HI 96813
Phone (808) 691-8897

86-260 Farrington Hwy
Waianae, HI 96792
Phone (808) 696-7081

89-102 Farrington Hwy
Unit 3000
Waianae, HI 96792
Phone (808) 697-3900

2540 Centreville Rd
Centreville, MD 21617
Phone (410) 758-4432

219 S Washington St
Easton, MD 21601

5 Garrett Ave
La Plata, MD 20646
Phone (301) 609-4000

Interoperability endpoints

  • Direct secure messaging: adam.stivala.p1@direct.cfg.nextgenshare.com
  • Direct secure messaging: adam.stivala.p1@direct.wcchc.nextgenshare.com
  • Direct secure messaging: astivala1236537@direct.umm.edu
  • Direct secure messaging: astivala450165@direct.ahsys.org

Organizations & group practices 33

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 33

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1320105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741737600000",
    "number": "1467738617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86-260 FARRINGTON HWY",
            "city": "WAIANAE",
            "state": "HI",
            "postal_code": "967923128",
            "telephone_number": "808-697-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 N FRANKLIN ST STE 401",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606547212",
            "telephone_number": "856-288-9612"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1356 Lusitana St Fl 4",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968132409",
            "country_code": "US",
            "telephone_number": "908-902-3003",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "655 E Jersey St",
            "address_purpose": "LOCATION",
            "city": "Elizabeth",
            "state": "NJ",
            "postal_code": "072061259",
            "country_code": "US",
            "telephone_number": "908-994-7325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STIVALA",
        "first_name": "ADAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-11-01",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA10502700",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MT",
            "license": "MED-PHYS-LIC-79647",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME142842",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A197909",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "HI",
            "license": "MD-20270",
            "primary": true
        },
        {
            "code": "171000000X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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Sources for this page

Verify at the official NPI Registry.