Individual provider Active NPI

Valerie Irene Photos, PH.D.

  • Psychologist
  • Belmont, MA
National Provider Identifier
1093128043
Registry record updated Jun 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Practice address
90 Concord Ave
Psychgarden, Floor 3
Belmont, MA 02478-4046
Phone
(857) 598-2808
NPI assigned
Jun 7, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X Primary

Addresses

Primary practice location

90 Concord Ave
Psychgarden, Floor 3
Belmont, MA 02478-4046

Mailing address

66 Buena Vista Rd
Arlington, MA 02476-7537
Phone (617) 642-1630

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1402099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402099200000",
    "number": "1093128043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 BUENA VISTA RD",
            "city": "ARLINGTON",
            "state": "MA",
            "postal_code": "024767537",
            "telephone_number": "617-642-1630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 CONCORD AVE",
            "address_2": "PSYCHGARDEN, FLOOR 3",
            "city": "BELMONT",
            "state": "MA",
            "postal_code": "024784046",
            "telephone_number": "857-598-2808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHOTOS",
        "first_name": "VALERIE",
        "middle_name": "IRENE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-07",
        "last_updated": "2014-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belmont, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2014; 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.