Anavault, a Psychological Corporation

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

ANAVAULT, A PSYCHOLOGICAL CORPORATION

Practice address

25350 Magic Mountain Pkwy Ste 300
Santa Clarita, CA 91355-1356

Phone

(805) 813-3774

NPI assigned

Aug 28, 2020

Last updated

Aug 28, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Marlene W Valter, PSYDNPI 1215548920

Title

President, Ceo

Phone

(805) 813-3774

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marlene Wilva Valter, PSYD

  • Clinical Psychologist
  • Santa Clarita, CA
  • NPI 1215548920
  Authorized official Same address or phone

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

{
    "created_epoch": "1598572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598572800000",
    "number": "1407469547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 959",
            "city": "SOMIS",
            "state": "CA",
            "postal_code": "930660959",
            "telephone_number": "805-813-3774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25350 MAGIC MOUNTAIN PKWY STE 300",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913551356",
            "telephone_number": "805-813-3774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANAVAULT, A PSYCHOLOGICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-28",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-27",
        "status": "A",
        "authorized_official_last_name": "VALTER",
        "authorized_official_first_name": "MARLENE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT, CEO",
        "authorized_official_telephone_number": "805-813-3774",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• American Current Care of California, a Medical Corporation (Concentra Urgent Care)
• American Health Services LLC (La Mesa Medical and Mental Health Services)
• American Renal Care, LLC
• Liona Amireh-Mabanga, RDH, BA, BS, RDHAP
• Anasheh Anna Amiriyan
• Kristal Andersen
• Cherokee Nicole Anderson-Lunde
• Christopher Anderson
• Deborah Elaine Anderson, PH.D.
• Ebony Ivory Anderson

• Adult Mental Health Clinic/Center in Santa Clarita, CA
• Providers in Santa Clarita, CA by specialty
• Adult Mental Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2020; 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.