Organization Active NPI

West Chester University

  • Clinical Psychologist
  • West Chester, PA
National Provider Identifier
1013408814
Registry record updated May 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS016799 Issued in PA
Legal business name
WEST CHESTER UNIVERSITY
Practice address
125 W Rosedale Ave FL 8
West Chester, PA 19383-2024
Phone
(610) 436-2510
Fax
(610) 436-2929
NPI assigned
May 29, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Elizabeth Anne Valentine, PHDNPI 1558519645
Title
Director
Phone
(610) 436-2510

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PS016799 PA Primary

Addresses

Primary practice location

125 W Rosedale Ave FL 8
West Chester, PA 19383-2024

Mailing address

125 W Rosedale Ave FL 8
West Chester, PA 19383-2024
Phone (610) 436-2510

National Provider Directory

National Provider Directory

Locations

125 W Rosedale Ave
Fl 8
West Chester, PA 19383
Phone (610) 436-2510

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1527552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527552000000",
    "number": "1013408814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 W ROSEDALE AVE FL 8",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193832024",
            "telephone_number": "610-436-2510",
            "fax_number": "610-436-2929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 W ROSEDALE AVE FL 8",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193832024",
            "telephone_number": "610-436-2510",
            "fax_number": "610-436-2929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST CHESTER UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-29",
        "last_updated": "2018-05-29",
        "status": "A",
        "authorized_official_last_name": "VALENTINE",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "610-436-2510",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS016799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.