Healthcare Provider Details

I. General information

NPI: 1689475378
Provider Name (Legal Business Name): NEW LIFE PSYCHOLOGY GROUP, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/20/2025
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5011 GREENCAP AVE
IRVINE CA
92604-2411
US

IV. Provider business mailing address

5011 GREENCAP AVE
IRVINE CA
92604-2411
US

V. Phone/Fax

Practice location:
  • Phone: 949-454-9016
  • Fax:
Mailing address:
  • Phone: 949-454-9016
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. DAVID ADAMS
Title or Position: CEO
Credential: PSY.D.
Phone: 949-454-9016