Jacob Sadan

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

AMFT143764 Issued in CA

Practice address

169 Saxony Rd Ste 205
Encinitas, CA 92024-6780

Phone

(916) 337-0485

NPI assigned

Mar 13, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Matthew Jarvinen PH.D., Inc., a Psychological Corporation

  • Community/Behavioral Health Agency
  • Encinitas, CA
  • NPI 1467915280
  NPD

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

{
    "created_epoch": "1710288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710288000000",
    "number": "1508624511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1113 CORRALES LN",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919107955",
            "telephone_number": "619-207-9022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 SAXONY RD STE 205",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920246780",
            "telephone_number": "916-337-0485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SADAN",
        "first_name": "JACOB",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-03-13",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CA",
            "license": "AMFT143764",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "AMFT143764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hassan Saada, DNP, NP-C
• Shiv Sab, MD
• Peter Ogden Sablove, PT, MPT
• Bruce Joseph Sachs, M.D.
• Pamela Dawn Sachs, LCSW
• Jennifer Kristin Sage, LMFT
• Kirsten Michelle Sage, D.C.
• Chelsea Salas Salas, LMFT
• James D Salazar, DDS
• Jacqueline Salenger, OTR/L

• Mental Health Counselor in Encinitas, CA
• Providers in Encinitas, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.