Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
TANYA JACOB CLINICAL PSYCHOLOGY INC.
Active
Organization
TANYA JACOB CLINICAL PSYCHOLOGY INC.
Active
Other names
Palisades Intervention & Counseling, Daniel Knox Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TANYA JACOB PHD (CLINICAL PSYCHOLOGIST)
(310) 422-4132
Entity
Organization
Contact information
Practice address
860 VIA DE LA PAZ STE F2, PACIFIC PALISADES, CA 90272-3655
(310) 422-4132
Mailing address
860 VIA DE LA PAZ STE F2, PACIFIC PALISADES, CA 90272-3655
(310) 422-4132
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
103T00000X
Psychologist
Primary
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
—
—
103TC1900X
Counseling Psychologist
—
—
106H00000X
Marriage & Family Therapist
—
—
111N00000X
Chiropractor
—
—
Other
Enumeration date
05/16/2024
Last updated
09/10/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up