Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. ADA ISABEL REVELES PSYD, LMFT
NPI 1619021235
Psychologist in Cerritos, CA

Active since January 22, 2007PECOS Enrolled
19112 GRIDLEY RD STE 104, CERRITOS, CA 90703(562) 273-1271 Get Directions Write a Review

NPPES record last updated: November 4, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Ada Isabel Reveles Psyd, Lmft NPPES

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

DR. ADA ISABEL REVELES PSYD, LMFT (NPI 1619021235) is an individual psychologist in Cerritos, California, licensed in California (37080) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1619021235
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. ADA ISABEL REVELESCredential: PSYD, LMFT
Location Address19112 GRIDLEY RD STE 104Cerritos, CA 90703-6614
Mailing Address19112 Gridley Rd Ste 104Cerritos, CA 90703-6614 · (562) 273-1271
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateJanuary 22, 2007
Last NPPES UpdateNovember 4, 2026
NPPES CertifiedNovember 4, 2026
✔ NPI 1619021235 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in CA · 37080
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 90561 (CA)
19112 GRIDLEY RD STE 104, Cerritos, CA 90703

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Ada Isabel Reveles Psyd, Lmft is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5092150201
PECOS Enrollment IDI20240228000001
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Ada Reveles reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinical
41 E FOOTHILL BLVD, SUITE 102
Arcadia, CA 91006
  • Reassigned Medicare billing, California enrollment
  • 273 clinicians in this Medicare group
Clinical
41 E FOOTHILL BLVD STE 102
Arcadia, CA 91006
  • Reassigned Medicare billing, California enrollment
  • 255 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ada Reveles's NPI number?

The NPI number for Ada Reveles is 1619021235. It was assigned to this individual provider in the NPPES registry on January 22, 2007.

Where is Ada Reveles located?

Ada Reveles practices at 19112 Gridley Rd Ste 104, Cerritos, CA 90703. The listed phone number is (562) 273-1271.

What is Ada Reveles's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Ada Reveles enrolled in Medicare?

Yes. Ada Reveles is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Ada Reveles's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ada Reveles reassigns Medicare benefits to 2 organizations: Soultenders, Inc. (Arcadia, CA) and Soultenders Psychological Services, Inc. (Arcadia, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ada Reveles's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Ada Reveles was last updated on November 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days 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.