Healthcare Provider Details

I. General information

NPI: 1811216344
Provider Name (Legal Business Name): DAVID LEE ADAMS PSY.D., LPCC, BCBA-D
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/24/2010
Last Update Date: 06/21/2025
Certification Date: 06/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23046 AVENIDA DE LA CARLOTA STE 600
LAGUNA HILLS CA
92653-1537
US

IV. Provider business mailing address

39 COLONY WAY
ALISO VIEJO CA
92656-4243
US

V. Phone/Fax

Practice location:
  • Phone: 949-933-6301
  • Fax:
Mailing address:
  • Phone: 949-454-9016
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC 312
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-04-1841
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY 28442
License Number StateCA
# 4
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPSY28442
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: