Individual provider Active NPI

Denise C Valenti-Hein, PHD

  • Clinical Psychologist
  • Appleton, WI
National Provider Identifier
1376727008
Registry record updated Dec 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1440-057 Issued in WI
Practice address
410 S Walnut St
Appleton, WI 54911-5920
Phone
(920) 832-4741
Fax
(920) 832-2185
NPI assigned
Dec 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2007

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 1440-057 WI Primary

Addresses

Primary practice location

410 S Walnut St
Appleton, WI 54911-5920

Mailing address

410 S Walnut St
Appleton, WI 54911-5920
Phone (920) 832-4741

Other identifiers 1

IdentifierTypeStateIssuer
39246800MedicaidWI

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
001240IAMDMental Health Counselor
1440-057WIMDClinical Psychologist
1440WIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Plains Area Mental Health, Inc. Past Accepting new patients
Plains Area Mental Health, Inc. PastSince May 7, 2024 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1197849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197849600000",
    "number": "1376727008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 S WALNUT ST",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549115920",
            "telephone_number": "920-832-4741",
            "fax_number": "920-832-2185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 S WALNUT ST",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549115920",
            "telephone_number": "920-832-4741",
            "fax_number": "920-832-2185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALENTI-HEIN",
        "first_name": "DENISE",
        "middle_name": "C",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-17",
        "last_updated": "2007-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WI",
            "license": "1440-057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39246800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Appleton, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2007; 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.