Peter J. Adams, PH.D.
Individual provider Active NPI Clinical Psychologist · Sacramento, CA
NPI 1710046594 · NPPES record last updated Oct 17, 2023
Key facts
- NPI
- 1710046594
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 16772 (CA)
- Practice address
- 3550 Watt Ave Ste 140
Sacramento, CA 95821-2666 - Phone
- (916) 549-1102
- NPI assigned
- Dec 7, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16772 | CA | MD | Chiropractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 16772 | CA | Yes |
Addresses
Primary practice location
3550 Watt Ave Ste 140
Sacramento, CA 95821-2666
Mailing address
5007 Palmetto Ave
Suite 42
Pacifica, CA 94044-3027
Phone (916) 549-1102
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq | Health Information Exchange (HIE) | The Permanente Medical Group |
Other providers in Sacramento, CA
- Matthew Adams
- Melanie Adams
- Michelle Adams
- Monet Adams
- Owen James Adams
- Randi Janice Adams
- Randy Dwayne Adams Jr.
- Sara M Adams
- Shavana Adams
- Stacy Adams
All providers in Sacramento, CA · Clinical Psychologist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 17, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.