Individual provider Active NPI

Marlene Wilva Valter, PSYD

  • Clinical Psychologist
  • Santa Clarita, CA
National Provider Identifier
1215548920
Registry record updated Aug 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY17095 Issued in CA
Practice address
25350 Magic Mountain Pkwy Ste 300
Santa Clarita, CA 91355-1356
Phone
(805) 813-3774
NPI assigned
Aug 14, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY17095 CA Primary

Addresses

Primary practice location

25350 Magic Mountain Pkwy Ste 300
Santa Clarita, CA 91355-1356

Mailing address

25350 Magic Mountain Pkwy Ste 300
Santa Clarita, CA 91355-1356
Phone (805) 813-3774

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20221228002205 CA Practitioner - Clinical Psychologist 6204254857 Practice locations: Santa Clarita, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

25350 Magic Mountain Pkwy
Suite 300
Santa Clarita, CA 91355-1356
Phone (805) 813-3774

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY17095CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Marlene W. Valter, PSYD PastSince Apr 1, 2004 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1597363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597363200000",
    "number": "1215548920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25350 MAGIC MOUNTAIN PKWY STE 300",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913551356",
            "telephone_number": "805-813-3774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25350 MAGIC MOUNTAIN PKWY STE 300",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913551356",
            "telephone_number": "805-813-3774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALTER",
        "first_name": "MARLENE",
        "middle_name": "WILVA",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-14",
        "last_updated": "2020-08-14",
        "certification_date": "2020-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY17095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Clarita, CA

Sources for this page

Verify at the official NPI Registry.