Active NPI
Sara Valentino PHD LLC
- Psychologist
- Saint Paul, MN
National Provider Identifier
1114561412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Legal business name
- SARA VALENTINO PHD LLC
- Doing business as
- Sara Valentino
- Practice address
- 970 Raymond Ave Ste 105
Saint Paul, MN 55114-1701 - Phone
- (612) 440-1824
- NPI assigned
- Oct 30, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Sara Valentino, PHD, LP
- Title
- Owner/Member
- Phone
- (540) 553-5574
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | Primary |
Addresses
Primary practice location
970 Raymond Ave Ste 105
Saint Paul, MN 55114-1701
Mailing address
500 W Franklin Ave Apt 105
Minneapolis, MN 55405-3654
Phone (540) 553-5574
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114561412 | Medicaid | MN |
Other names 1
- Sara Valentino
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572393600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1708041600000",
"number": "1114561412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 W FRANKLIN AVE APT 105",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554053654",
"telephone_number": "540-553-5574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "970 RAYMOND AVE STE 105",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551141701",
"telephone_number": "612-440-1824"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SARA VALENTINO PHD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-10-30",
"last_updated": "2024-02-16",
"certification_date": "2024-02-16",
"status": "A",
"authorized_official_last_name": "VALENTINO",
"authorized_official_first_name": "SARA",
"authorized_official_title_or_position": "OWNER/MEMBER",
"authorized_official_telephone_number": "540-553-5574",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD, LP"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1114561412",
"state": "MN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Sara Valentino",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Sara Valentino",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.