NPIMap

Organization Active NPI

Del Valle Clinic, Inc

  • Clinical Psychologist
  • Livermore, CA
National Provider Identifier
1023028248
Registry record updated Sep 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
DEL VALLE CLINIC, INC
Practice address
1797 4TH St
Livermore, CA 94550-4347
Phone
(925) 443-2500
Fax
(925) 443-0771
NPI assigned
Aug 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2007

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

Authorized official

Name
Nancy Oehrly, PSY.D
Title
Owner
Phone
(925) 443-2500

Specialties & licenses 1

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

Addresses

Primary practice location

1797 4TH St
Livermore, CA 94550-4347

Mailing address

1797 4TH St
Livermore, CA 94550-4347
Phone (925) 443-2500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100428000496 CA Part B Supplier - Clinic/Group Practice 2961539846 Receives reassigned benefits from 4 practitioners
Practice locations: Livermore, CA

National Provider Directory

National Provider Directory

Locations

1797 4th St
Livermore, CA 94550
Phone (925) 443-2500

Practitioners & affiliated clinicians

Practitioners 10

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": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190246400000",
    "number": "1023028248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1797 4TH ST",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945504347",
            "telephone_number": "925-443-2500",
            "fax_number": "925-443-0771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1797 4TH ST",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945504347",
            "telephone_number": "925-443-2500",
            "fax_number": "925-443-0771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEL VALLE CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2007-09-20",
        "status": "A",
        "authorized_official_last_name": "OEHRLY",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "925-443-2500",
        "authorized_official_credential": "PSY.D"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livermore, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.