Sherlyn Jimenez Valentine, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY24691 Issued in CA

Practice address

1914 Mendocino St
Richmond, CA 94804-5319

Phone

(510) 680-0036

NPI assigned

Jul 11, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Sherlyn Jimenez Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1215734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652140800000",
    "number": "1225292931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1914 MENDOCINO ST",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "948045319",
            "telephone_number": "510-680-0036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1914 MENDOCINO ST",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "948045319",
            "telephone_number": "510-680-0036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALENTINE",
        "first_name": "SHERLYN",
        "middle_name": "JIMENEZ",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-11",
        "last_updated": "2022-05-10",
        "certification_date": "2022-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "24691",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY24691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHERLYN",
            "last_name": "JIMENEZ",
            "credential": "PH.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Urban Tilth
• Ruth Valdes
• Tania Jocelyn Valencia
• Constance Marie Valenti-Martin, R.N.
• Pamela M. Valentine, MD
• Nicole Vanessa Valentino
• Alejandra Valle
• Vargas Group Inc. Dba Guadalupe Dental Clinic
• Ana Maricarmen Vargas Julca
• Gabriela Ivanna Vargas

• Clinical Psychologist in Richmond, CA
• Providers in Richmond, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 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.

Verify at the official NPI Registry.