MR. ADAN MALDONADO JR.
NPI 1063878825
Marriage & Family Therapist in Stockton, CA

Q: What is Adan Maldonado's NPI number?

The NPI number for Adan Maldonado is 1063878825. It was assigned to this individual provider in the NPPES registry on January 11, 2016.

Q: What is Adan Maldonado's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Adan Maldonado was last updated on December 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 11, 2016PECOS Enrolled

1212 N CALIFORNIA ST, STOCKTON, CA 95202(209) 484-9350 Get Directions Write a Review

NPPES record last updated: December 20, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Mr. Adan Maldonado Jr. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. ADAN MALDONADO JR. (NPI 1063878825) is an individual marriage & family therapist in Stockton, California, licensed in California (139560) and active in the NPI registry since January 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063878825

Entity TypeIndividualMale

Primary Taxonomy106H00000X

Provider Legal NameMR. ADAN MALDONADO JR.

Location Address1212 N CALIFORNIA STStockton, CA 95202-1552

Mailing Address1212 N California StStockton, CA 95202-1552

Phone(209) 484-9350

Sole ProprietorYes

Enumeration DateJanuary 11, 2016

Last NPPES UpdateDecember 20, 2023

NPPES CertifiedDecember 20, 2023

✔ NPI 1063878825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · 139560

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

1212 N CALIFORNIA ST, Stockton, CA 95202

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Adan Maldonado Jr. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SAN JOAQUIN COUNTY BEHAVIORAL HEALTH SERVICES

Clinic/Center (Mental Health (Including Community Mental Health Center))