Organization Active NPI

Vale Psychology Group

  • Clinical Psychologist
  • Beverly Hills, CA
National Provider Identifier
1336518471
Registry record updated Sep 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY27080 Issued in CA
Legal business name
VALE PSYCHOLOGY GROUP
Practice address
153 S Lasky Dr
#3
Beverly Hills, CA 90212-1721
Phone
(310) 916-6217
NPI assigned
Sep 18, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2015

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

Authorized official

Name
Dr. Nicole M Vale, PSY.D.
Title
Owner
Phone
(310) 916-6217

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X PSY27080 CA Primary

Addresses

Primary practice location

153 S Lasky Dr
#3
Beverly Hills, CA 90212-1721

Mailing address

6447 Orange St
Apt 107
Los Angeles, CA 90048-4758
Phone (310) 916-6217

National Provider Directory

National Provider Directory

Locations

153 S Lasky Dr
Ste 3
Beverly Hills, CA 90212
Phone (310) 275-5206

2001 S Barrington Ave
Ste 314
Los Angeles, CA 90025
Phone (310) 948-3422

NPI Registry JSON

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

{
    "created_epoch": "1442534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442534400000",
    "number": "1336518471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6447 ORANGE ST",
            "address_2": "APT 107",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900484758",
            "telephone_number": "310-916-6217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 S LASKY DR",
            "address_2": "#3",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902121721",
            "telephone_number": "310-916-6217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALE PSYCHOLOGY GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-18",
        "last_updated": "2015-09-18",
        "status": "A",
        "authorized_official_last_name": "VALE",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-916-6217",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY27080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2015; 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.