Active NPI
Valerie Vroon Raymond, PSY.D.
- Clinical Psychologist
- Atlanta, GA
National Provider Identifier
1386709673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY002237
- Practice address
- 1788 Century Blvd NE
Suite a
Atlanta, GA 30345-3321 - Phone
- (404) 636-2340
- Fax
- (404) 636-2342
- NPI assigned
- Dec 27, 2006
- 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 | PSY002237 | GA | Primary |
Addresses
Primary practice location
1788 Century Blvd NE
Suite a
Atlanta, GA 30345-3321
Mailing address
1788 Century Blvd NE
Suite a
Atlanta, GA 30345-3321
Phone (404) 636-2340
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 945836476A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071022000649 | GA | Practitioner - Clinical Psychologist | 9335235381 | Practice locations: Atlanta, GA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1774 Century Blvd NE
Suite C
Atlanta, GA 30345-3312
Phone (404) 636-2340
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY002237 | GA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395014400000",
"number": "1386709673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1788 CENTURY BLVD NE",
"address_2": "SUITE A",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303453321",
"telephone_number": "404-636-2340",
"fax_number": "404-636-2342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1788 CENTURY BLVD NE",
"address_2": "SUITE A",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303453321",
"telephone_number": "404-636-2340",
"fax_number": "404-636-2342"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAYMOND",
"first_name": "VALERIE",
"middle_name": "VROON",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-27",
"last_updated": "2014-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "GA",
"license": "PSY002237",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "945836476A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.