Organization Active NPI

Valentine and Associates PA

  • Psychologist
  • Garner, NC
National Provider Identifier
1295854750
Registry record updated Mar 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1118 Issued in NC
Legal business name
VALENTINE AND ASSOCIATES PA
Practice address
1201 Aversboro Rd
Suite C
Garner, NC 27529-5208
Phone
(919) 779-3188
Fax
(919) 779-4223
NPI assigned
Mar 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2012

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

Authorized official

Name
Ronald J. Valentine, PH.D.NPI 1790899797
Title
Director
Phone
(919) 779-3188

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X 1118 NC Primary
Community/Behavioral Health Agency 251S00000X 1118 NC

Addresses

Primary practice location

1201 Aversboro Rd
Suite C
Garner, NC 27529-5208

Mailing address

1201 Aversboro Rd
Suite C
Garner, NC 27529-5208
Phone (919) 779-3188

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120319000457 NC Part B Supplier - Clinic/Group Practice 7113187709 Receives reassigned benefits from 1 practitioner
Practice locations: Garner, NC

National Provider Directory

National Provider Directory
Tax ID family
Valentine and Associates PA3 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.

Locations

1201 Aversboro Rd
Ste C
Garner, NC 27529
Phone (919) 335-7595

Practitioners & affiliated clinicians

Practitioners 2

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": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332201600000",
    "number": "1295854750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 AVERSBORO RD",
            "address_2": "SUITE C",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275295208",
            "telephone_number": "919-779-3188",
            "fax_number": "919-779-4223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 AVERSBORO RD",
            "address_2": "SUITE C",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275295208",
            "telephone_number": "919-779-3188",
            "fax_number": "919-779-4223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALENTINE AND ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2012-03-20",
        "status": "A",
        "authorized_official_last_name": "VALENTINE",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "919-779-3188",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "NC",
            "license": "1118",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "1118",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garner, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.