Valinda Laverne Greene, PHD, MS,MA, RN

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY15278 Issued in CA

Practice address

5360 Jackson Dr
Ste. 112
La Mesa, CA 91942-6002

Phone

(619) 697-0934

Fax

(619) 697-5832

NPI assigned

Feb 25, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts, Master of Science, Doctor of Philosophy, Registered Nurse

State licenses

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

{
    "created_epoch": "1172361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400544000000",
    "number": "1164558235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5360 JACKSON DR",
            "address_2": "STE. 112",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919426002",
            "telephone_number": "619-697-0934",
            "fax_number": "619-697-5832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5360 JACKSON DR",
            "address_2": "STE. 112",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919426002",
            "telephone_number": "619-697-0934",
            "fax_number": "619-697-5832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENE",
        "first_name": "VALINDA",
        "middle_name": "LAVERNE",
        "name_prefix": "Dr.",
        "credential": "PHD, MS,MA, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-25",
        "last_updated": "2014-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY15278",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MANAGED HEALTH NETWORK",
            "identifier": "171337",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHEILD",
            "identifier": "CP15278",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL PROVIDER NUMBER",
            "identifier": "PSY152780",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leslie J. Gray, M.D.
• Delaney Ann Grazier
• Garon Anne Green
• Adam Greenberg
• Felicia Greene
• Greg Giles, O.D., Inc.
• Charles Raymond Gregg, LMFT
• Jeffrey Woodson Gregg, O.D.
• Kuljinder Singh Grewal, M.D.
• Sirena Angelica Griffin

• Psychologist in La Mesa, CA
• Providers in La Mesa, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.