Gerald Wayne Valentine, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD2012-0068 Issued in NM

Practice address

46 Centaurus Ranch Rd
Santa Fe, NM 87507-7912

Phone

(203) 499-7474

NPI assigned

Nov 17, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/bridgesct/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Apnh: a Place to Nourish Your Health

  • Community/Behavioral Health Agency
  • New Haven, CT
  • NPI 1184993081

  Single Specialty

  NPD (past)
• Bridges Healthcare Inc.

  • Adult Mental Health Clinic/Center
  • Milford, CT
  • NPI 1851350300

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1195257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629331200000",
    "number": "1376724468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 CENTAURUS RANCH RD",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875077912",
            "telephone_number": "203-499-7474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 CENTAURUS RANCH RD",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875077912",
            "telephone_number": "203-499-7474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALENTINE",
        "first_name": "GERALD",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-17",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NM",
            "license": "MD2012-0068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tanya Valdez, RN
• Andrea Valencia
• Donaciano Valencia
• Lida Valencia, PSR
• Regina A Valencia, MD
• Timothy Valentine
• Valerie Valentine
• Valerie Valentine Studios, LLC
• Mirna Valerio
• Tomas Joseph Valerio, MD

• Psychiatry Physician in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Psychiatry Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2021; 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.