Individual provider Active NPI

Adam Stoker, PHD

  • Psychologist
  • Santa Monica, CA
National Provider Identifier
1588064158
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY35116 Issued in CA
Practice address
1339 20TH St
Santa Monica, CA 90404-2033
Phone
(310) 829-8921
NPI assigned
Sep 2, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY35116 CA Primary

Addresses

Primary practice location

1339 20TH St
Santa Monica, CA 90404-2033

Mailing address

10323 Santa Monica Blvd Ste 106
Los Angeles, CA 90025-5056
Phone (801) 842-7379

Other practice location 1

16030 Ventura Blvd Ste 460
Encino, CA 91436-4485
Phone (801) 842-7379

Other practice location 2

10323 Santa Monica Blvd Ste 103
Los Angeles, CA 90025-5056
Phone (424) 421-2273

Other practice location 3

1990 Westwood Blvd Ste 360
Los Angeles, CA 90025-4650
Phone (801) 842-7379

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
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY35116CAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Los Angeles Integrative Mental Health Current Accepting new patients

Locations

16030 Ventura Blvd
Ste 460
Encino, CA 91436
Phone (424) 222-5257

1990 Westwood Blvd
Ste 360
Los Angeles, CA 90025
Phone (424) 201-1600

Organizations & group practices 1

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": "1409616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1588064158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10323 SANTA MONICA BLVD STE 106",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900255056",
            "telephone_number": "801-842-7379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1339 20TH ST",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042033",
            "telephone_number": "310-829-8921"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16030 Ventura Blvd Ste 460",
            "address_purpose": "LOCATION",
            "city": "Encino",
            "state": "CA",
            "postal_code": "914364485",
            "country_code": "US",
            "telephone_number": "801-842-7379",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10323 Santa Monica Blvd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900255056",
            "country_code": "US",
            "telephone_number": "424-421-2273",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1990 Westwood Blvd Ste 360",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900254650",
            "country_code": "US",
            "telephone_number": "801-842-7379",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STOKER",
        "first_name": "ADAM",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-02",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY35116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.