Provider Demographics
NPI:1033091947
Name:ADAMS, JOHN LINDLEY (PHD, NCSP)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:LINDLEY
Last Name:ADAMS
Suffix:
Gender:M
Credentials:PHD, NCSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:293 BELMONT AVE
Mailing Address - Street 2:
Mailing Address - City:BOURBONNAIS
Mailing Address - State:IL
Mailing Address - Zip Code:60914-2055
Mailing Address - Country:US
Mailing Address - Phone:520-461-2540
Mailing Address - Fax:
Practice Address - Street 1:293 BELMONT AVE
Practice Address - Street 2:
Practice Address - City:BOURBONNAIS
Practice Address - State:IL
Practice Address - Zip Code:60914-2055
Practice Address - Country:US
Practice Address - Phone:520-461-2540
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-22
Last Update Date:2025-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ5149128103TS0200X
IL2725368103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool