Active NPI
Pamela Lynn Valley, PH.D.
- Clinical Psychologist
- Canton, NY
National Provider Identifier
1154051241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 017194-1
- Practice address
- 15 State St
Canton, NY 13617-1062 - Phone
- (315) 854-1090
- NPI assigned
- Jun 13, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 017194-1 | NY | Primary |
Addresses
Primary practice location
15 State St
Canton, NY 13617-1062
Mailing address
15 State St
Canton, NY 13617-1062
Phone (315) 854-1090
Other names 1
- Pamela V Thacher
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 017194-1 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655078400000",
"number": "1154051241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 STATE ST",
"city": "CANTON",
"state": "NY",
"postal_code": "136171062",
"telephone_number": "315-854-1090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 STATE ST",
"city": "CANTON",
"state": "NY",
"postal_code": "136171062",
"telephone_number": "315-854-1090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALLEY",
"first_name": "PAMELA",
"middle_name": "LYNN",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-06-13",
"last_updated": "2022-06-13",
"certification_date": "2022-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "017194-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "PAMELA",
"last_name": "THACHER",
"middle_name": "V",
"credential": "PH.D.",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Canton, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.