Organization Active NPI

Sara Valentino PHD LLC

  • Psychologist
  • Saint Paul, MN
National Provider Identifier
1114561412
Registry record updated Feb 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
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

Updated by the provider on Feb 16, 2024

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)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1114561412MedicaidMN

Other names 1

  • Sara Valentino Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.