Individual provider Active NPI

Veronique Nicole Valliere, PSY.D.

  • Clinical Psychologist
  • Fogelsville, PA
National Provider Identifier
1396775177
Registry record updated Sep 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS007952L Issued in PA
Practice address
726 Church Street
Fogelsville, PA 18051-0864
Phone
(610) 530-8392
Fax
(610) 530-8940
NPI assigned
Jul 4, 2006
Last updated
Sep 11, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2008

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 PS007952L PA Primary

Addresses

Primary practice location

726 Church Street
Fogelsville, PA 18051-0864

Mailing address

726 Church Street
Fogelsville, PA 18051-0864
Phone (610) 530-8392

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081205000540 PA Practitioner - Clinical Psychologist 5890856074 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

726 Church St
Fogelsville, PA 18051-1603
Phone (610) 530-8392

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Schulz Chiropractic, Inc. CurrentSince Nov 15, 2006 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221091200000",
    "number": "1396775177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "726 CHURCH STREET",
            "city": "FOGELSVILLE",
            "state": "PA",
            "postal_code": "180510864",
            "telephone_number": "610-530-8392",
            "fax_number": "610-530-8940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "726 CHURCH STREET",
            "city": "FOGELSVILLE",
            "state": "PA",
            "postal_code": "180510864",
            "telephone_number": "610-530-8392",
            "fax_number": "610-530-8940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALLIERE",
        "first_name": "VERONIQUE",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-04",
        "last_updated": "2008-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS007952L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fogelsville, PA

Sources for this page

Verify at the official NPI Registry.