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JODY J ADEWALE PSY.D.
NPI 1740591460
Counselor - Mental Health in Pasadena, CA

Active since June 28, 2010PECOS Enrolled
1055 E COLORADO BLVD FL 5FLOOR, PASADENA, CA 91106(323) 633-3892(626) 240-4699 Get Directions Write a Review

NPPES record last updated: May 21, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 21, 2020, Sep 20, 2016 (2 updates tracked since 2016).

About Jody J Adewale Psy.d. NPPES

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

JODY J ADEWALE PSY.D. (NPI 1740591460) is an individual mental health provider in Pasadena, California and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740591460
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJODY J ADEWALECredential: PSY.D.
Location Address1055 E COLORADO BLVD FL 5FLOORPasadena, CA 91106-2327
Mailing Address4519 Rosemead Blvd, Fl 2Rosemead, CA 91770-1476 · (323) 633-3892
Phone(323) 633-3892
Fax(626) 240-4699
Sole ProprietorYes
Enumeration DateJune 28, 2010
Last NPPES UpdateMay 21, 20202 updates tracked since enumeration
NPPES CertifiedMay 21, 2020
✔ NPI 1740591460 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedRehabilitation CounselorTaxonomy 225C00000X · License 2012306 (CA)
1055 E COLORADO BLVD FL 5FLOOR, Pasadena, CA 91106
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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)

Jody J Adewale Psy.d. 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.

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 Jody Adewale's NPI number?

The NPI number for Jody Adewale is 1740591460. It was assigned to this individual provider in the NPPES registry on June 28, 2010.

Where is Jody Adewale located?

Jody Adewale practices at 1055 E Colorado Blvd Fl 5floor, Pasadena, CA 91106. The listed phone number is (323) 633-3892.

What is Jody Adewale's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Jody Adewale enrolled in Medicare?

Yes. Jody Adewale is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jody Adewale was last updated on May 21, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.