NPIMap

Organization Active NPI

Tanya Jacob Clinical Psychology Inc.

Doing business as Daniel Knox Counseling

  • Psychologist
  • Pacific Palisades, CA
National Provider Identifier
1659120103
Registry record updated Sep 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
TANYA JACOB CLINICAL PSYCHOLOGY INC.
Doing business as
Daniel Knox Counseling
Practice address
860 Via de la Paz Ste F2
Pacific Palisades, CA 90272-3655
Phone
(310) 422-4132
NPI assigned
May 16, 2024
Last updated
Sep 10, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2024

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

Authorized official

Name
Dr. Tanya Jacob, PHDNPI 1386875086
Title
Clinical Psychologist
Phone
(310) 422-4132

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 8

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X NU
Psychologist 103T00000X NU Primary
Addiction (Substance Use Disorder) Psychologist 103TA0400X NU
Cognitive & Behavioral Psychologist 103TB0200X NU
Clinical Psychologist 103TC0700X NU
Counseling Psychologist 103TC1900X NU
Marriage & Family Therapist 106H00000X NU
Chiropractor 111N00000X NU

Addresses

Primary practice location

860 Via de la Paz Ste F2
Pacific Palisades, CA 90272-3655

Mailing address

860 Via de la Paz Ste F2
Pacific Palisades, CA 90272-3655
Phone (310) 422-4132

Other names 2

  • Daniel Knox Counseling Doing business as
  • Palisades Intervention & Counseling Other name

National Provider Directory

National Provider Directory

Locations

860 Via de la Paz
Ste F2
Pacific Palisades, CA 90272
Phone (310) 422-4132

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1715817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725926400000",
    "number": "1659120103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 VIA DE LA PAZ STE F2",
            "city": "PACIFIC PALISADES",
            "state": "CA",
            "postal_code": "902723655",
            "telephone_number": "310-422-4132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 VIA DE LA PAZ STE F2",
            "city": "PACIFIC PALISADES",
            "state": "CA",
            "postal_code": "902723655",
            "telephone_number": "310-422-4132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TANYA JACOB CLINICAL PSYCHOLOGY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-16",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A",
        "authorized_official_last_name": "JACOB",
        "authorized_official_first_name": "TANYA",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "310-422-4132",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Daniel Knox Counseling",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Palisades Intervention & Counseling",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pacific Palisades, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.