Individual provider Active NPI

Keith Emerson Valone, PH.D., PSY.D.

  • Clinical Psychologist
  • Pasadena, CA
National Provider Identifier
1316074180
Registry record updated Dec 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY7843 Issued in CA
Practice address
1 W California Blvd
Suite 321
Pasadena, CA 91105-3029
Phone
(626) 405-9066
NPI assigned
Feb 27, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 31, 2024

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 PSY7843 CA Primary

Addresses

Primary practice location

1 W California Blvd
Suite 321
Pasadena, CA 91105-3029

Mailing address

1 W California Blvd
Suite 321
Pasadena, CA 91105-3029
Phone (626) 405-9066

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Dec 28, 2020 through Dec 28, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY7843CAMDClinical Psychologist
7843CAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735603200000",
    "number": "1316074180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 W CALIFORNIA BLVD",
            "address_2": "SUITE 321",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053029",
            "telephone_number": "626-405-9066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 W CALIFORNIA BLVD",
            "address_2": "SUITE 321",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053029",
            "telephone_number": "626-405-9066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALONE",
        "first_name": "KEITH",
        "middle_name": "EMERSON",
        "name_prefix": "Dr.",
        "credential": "PH.D., PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2024-12-31",
        "certification_date": "2024-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY7843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.