Active NPI
Adjusted Crown Psychological Service Inc
- Psychologist
- Modesto, CA
National Provider Identifier
1619899648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Legal business name
- ADJUSTED CROWN PSYCHOLOGICAL SERVICE INC
- Practice address
- 1343 Magnolia Ave
Modesto, CA 95350-5249 - Phone
- (916) 642-9522
- Fax
- (916) 234-5056
- NPI assigned
- Jul 29, 2026
- Last updated
- Jul 29, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. La Tanya Alicia Takla, EDD
- Title
- Clinical Director
- Phone
- (916) 642-9522
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | NU | Primary |
Addresses
Primary practice location
1343 Magnolia Ave
Modesto, CA 95350-5249
Mailing address
1343 Magnolia Ave
Modesto, CA 95350-5249
Phone (916) 642-9522
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Psychologist
- Modesto, CA
- NPI 1366635526
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1785283200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1785283200000",
"number": "1619899648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1343 MAGNOLIA AVE",
"city": "MODESTO",
"state": "CA",
"postal_code": "953505249",
"telephone_number": "916-642-9522",
"fax_number": "916-234-5056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1343 MAGNOLIA AVE",
"city": "MODESTO",
"state": "CA",
"postal_code": "953505249",
"telephone_number": "916-642-9522",
"fax_number": "916-234-5056"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADJUSTED CROWN PSYCHOLOGICAL SERVICE INC",
"organizational_subpart": "NO",
"enumeration_date": "2026-07-29",
"last_updated": "2026-07-29",
"certification_date": "2026-07-29",
"status": "A",
"authorized_official_last_name": "TAKLA",
"authorized_official_first_name": "LA TANYA",
"authorized_official_middle_name": "ALICIA",
"authorized_official_title_or_position": "CLINICAL DIRECTOR",
"authorized_official_telephone_number": "916-642-9522",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "EDD"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.