Individual provider Active NPI

Valarie Ann Kager, PH.D.

  • Clinical Psychologist
  • Brandon, FL
National Provider Identifier
1275587693
Registry record updated Feb 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY0005566 Issued in FL
Practice address
3457 Brook Crossing Dr
Brandon, FL 33511-8181
Phone
(813) 655-5550
Fax
(813) 600-5503
NPI assigned
May 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2014

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 PY0005566 FL Primary

Addresses

Primary practice location

3457 Brook Crossing Dr
Brandon, FL 33511-8181

Mailing address

4604 Lithia Springs Rd
Lithia, FL 33547-1729
Phone (813) 661-3111

Other identifiers 1

IdentifierTypeStateIssuer
54130OtherFLBLUE CROSS/BLUE SHIELD

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PY0005566FLMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392854400000",
    "number": "1275587693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4604 LITHIA SPRINGS RD",
            "city": "LITHIA",
            "state": "FL",
            "postal_code": "335471729",
            "telephone_number": "813-661-3111",
            "fax_number": "813-651-0905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3457 BROOK CROSSING DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335118181",
            "telephone_number": "813-655-5550",
            "fax_number": "813-600-5503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAGER",
        "first_name": "VALARIE",
        "middle_name": "ANN",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-20",
        "last_updated": "2014-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY0005566",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "54130",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2014; 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.