Individual provider Active NPI

James R. Adams IV, MA, MFT

  • Marriage & Family Therapist
  • Yucaipa, CA
National Provider Identifier
1487778569
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC 39400 Issued in CA
Practice address
10776 Fremont St
Yucaipa, CA 92399-9630
Phone
(714) 713-0561
NPI assigned
Mar 16, 2007
Last updated
Aug 20, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC 39400 CA Primary

Addresses

Primary practice location

10776 Fremont St
Yucaipa, CA 92399-9630

Mailing address

PO Box 1210
Claremont, CA 91711-1210
Phone (714) 713-0561

Other practice location 1

11057 Basye St
El Monte, CA 91731-1655
Phone (626) 444-0539

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
MFC 39400CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Youth Services CurrentSince Feb 14, 2021 Accepting new patients
Trinity Youth Services PastSince Aug 25, 2024 Accepting new patients

Locations

11057 Basye St
El Monte, CA 91731
Phone (626) 444-0539

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1487778569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1210",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917111210",
            "telephone_number": "714-713-0561",
            "fax_number": "909-825-5340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10776 FREMONT ST",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "923999630",
            "telephone_number": "714-713-0561"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11057 Basye St",
            "address_purpose": "LOCATION",
            "city": "El Monte",
            "state": "CA",
            "postal_code": "917311655",
            "country_code": "US",
            "telephone_number": "626-444-0539",
            "fax_number": "626-444-7990",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "JAMES",
        "middle_name": "R.",
        "name_prefix": "Mr.",
        "name_suffix": "IV",
        "credential": "MA, MFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-16",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 39400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yucaipa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.