Adam Dorsay, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

24362 Issued in CA

Practice address

1120 McKendrie St
San Jose, CA 95126-1406

Phone

(408) 450-1800

NPI assigned

Jul 8, 2009

Last updated

Oct 15, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Previously, effective Oct 1, 2014 through Oct 1, 2026

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Vericare of California Medical Group

  • Clinical Psychologist
  • Paradise, CA
  • NPI 1316992829
  NPD (past)

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

{
    "created_epoch": "1247011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350259200000",
    "number": "1588893770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 MCKENDRIE ST",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951261406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 MCKENDRIE ST",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951261406",
            "telephone_number": "408-450-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORSAY",
        "first_name": "ADAM",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-08",
        "last_updated": "2012-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "24362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ujjwala Dorlikar, DDS
• Dorothy Ponton (Samaritan Health Center)
• Amy Marie Dorr
• Patricia Barbara Dorrell, PT
• Alaetra Jeneese Dorsa, MHRS, BA, MA
• Aurianne Jacobs Dorsay, PH.D.
• Kaitlin G Dorstewitz, BCBA #1-25-83920
• Parul Doshi
• Dahren Doss, DC
• Craig Arthur Dossman Sr., PHD

• Clinical Psychologist in San Jose, CA
• Providers in San Jose, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.