Active NPI
Celeste Erika Valencia, M.D.
- Psychiatry Physician
- New Haven, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- S2186
- Practice address
- 34 Park St
New Haven, CT 06519-1109 - Phone
- (203) 974-7158
- NPI assigned
- Apr 11, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 036.150877 | IL | |
| Psychiatry Physician | 2084P0800X | 11758 | SD | |
| Psychiatry Physician | 2084P0800X | 054915 | CT | |
| Psychiatry Physician | 2084P0800X | S2186 | TX | Primary |
Addresses
Primary practice location
34 Park St
New Haven, CT 06519-1109
Mailing address
4525 N Ravenswood Ave
Ste 201
Chicago, IL 60640-5201
Phone (312) 857-8794
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 054915 | CT | MD | Psychiatry Physician |
| 036.150877 | IL | MD | Psychiatry Physician |
| 11758 | SD | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Methodist Medical Center of Illinois | Psychiatry | Current | Accepting new patients |
| Tri-County Clinical | Current | Accepting new patients | |
| Tri-County Clinical | Current | Accepting new patients | |
| Ascension Seton | Past | Accepting new patients | |
| Flandreau Santee Sioux Tribe | Past | Accepting new patients |
Locations
5401 N Knoxville Ave
Ste 204
Peoria, IL 61614
Phone (309) 683-1200
815 Main St
Ste A
Peoria, IL 61602
Phone (309) 672-4986
221 NE Glen Oak Ave
Peoria, IL 61636
Phone (309) 672-4281
815 Main St
Ste A1
Peoria, IL 61602
900 Main St
Ste 400
Peoria, IL 61602
Phone (309) 671-3100
5401 N Knoxville Ave
Ste 400
Peoria, IL 61614
Phone (309) 691-6610
3501 Mills Ave
Austin, TX 78731
Phone (512) 324-1017
4900 Mueller Blvd
Austin, TX 78723
Phone (512) 324-0165
Interoperability endpoints
- celeste.valencia.1@8363.direct.athenahealth.com
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Peoria, IL
- NPI 1184670663
Psychiatry, TX
-
- Family Medicine Physician
- Luling, TX
- NPI 1336456227
-
- Cardiovascular Disease Physician
- Austin, TX
- NPI 1588971477
-
- Children's Hospital
- Austin, TX
- NPI 1447355771
-
- Pharmacy
- Flandreau, SD
- NPI 1558387076
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603843200000",
"number": "1013273317",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4525 N RAVENSWOOD AVE",
"address_2": "STE 201",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606405201",
"telephone_number": "312-857-8794",
"fax_number": "708-575-8311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34 PARK ST",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065191109",
"telephone_number": "203-974-7158"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALENCIA",
"first_name": "CELESTE",
"middle_name": "ERIKA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-11",
"last_updated": "2020-10-28",
"certification_date": "2020-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IL",
"license": "036.150877",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "SD",
"license": "11758",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CT",
"license": "054915",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "S2186",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.