Organization Active NPI

Valley Oaks Health Inc

  • Clinical Psychologist
  • Lafayette, IN
National Provider Identifier
1275993909
Registry record updated Aug 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
99071250A Issued in IN
Legal business name
VALLEY OAKS HEALTH INC
Practice address
415 N 26TH St
Lafayette, IN 47904-2895
Phone
(765) 446-6525
Fax
(765) 446-6401
NPI assigned
Feb 23, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2019

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

Authorized official

Name
Dr. Pamela McCombs-Matlock, PSY.D.NPI 1912367590
Title
Psychologist
Phone
(765) 446-6525

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 99071250A IN Primary

Addresses

Primary practice location

415 N 26TH St
Lafayette, IN 47904-2895

Mailing address

2133B Fincastle Way
Lafayette, IN 47909-7357

National Provider Directory

National Provider Directory
Tax ID family
Wabash Valley Alliance Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1456185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565049600000",
    "number": "1275993909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2133B FINCASTLE WAY",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479097357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 N 26TH ST",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479042895",
            "telephone_number": "765-446-6525",
            "fax_number": "765-446-6401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY OAKS HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-23",
        "last_updated": "2019-08-06",
        "status": "A",
        "authorized_official_last_name": "MCCOMBS-MATLOCK",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "765-446-6525",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IN",
            "license": "99071250A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2019; 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.