Active NPI
Gladys Sanchez Valdez-Blake, PH.D.
- Clinical Psychologist
- New York, NY
National Provider Identifier
1316167646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 018145
- Practice address
- 412 6TH Ave
7TH Floor
New York, NY 10011-8409 - Phone
- (512) 731-3792
- NPI assigned
- Apr 27, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 018145 | NY | Primary |
Addresses
Primary practice location
412 6TH Ave
7TH Floor
New York, NY 10011-8409
Mailing address
412 6TH Ave
7TH Floor
New York, NY 10011-8409
Phone (512) 731-3792
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 018145 | NY | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1284595200000",
"number": "1316167646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "412 6TH AVE",
"address_2": "7TH FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100118409",
"telephone_number": "512-731-3792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "412 6TH AVE",
"address_2": "7TH FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100118409",
"telephone_number": "512-731-3792"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALDEZ-BLAKE",
"first_name": "GLADYS",
"middle_name": "SANCHEZ",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-27",
"last_updated": "2010-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "018145",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.