Active NPI
Cherie M. Valeithian, PH.D.
- Psychologist
- Kent, WA
National Provider Identifier
1417939992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PY00002490
- Practice address
- 20701 104TH PL SE
Kent, WA 98031-1561 - Phone
- (253) 813-0481
- Fax
- (253) 867-1606
- NPI assigned
- Nov 18, 2005
- Last updated
- May 6, 2010
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PY00002490 | WA | Primary |
Addresses
Primary practice location
20701 104TH PL SE
Kent, WA 98031-1561
Mailing address
20701 104TH PL SE
Kent, WA 98031-1561
Phone (253) 813-0481
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1273104000000",
"number": "1417939992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20701 104TH PL SE",
"city": "KENT",
"state": "WA",
"postal_code": "980311561",
"telephone_number": "253-813-0481",
"fax_number": "253-867-1606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20701 104TH PL SE",
"city": "KENT",
"state": "WA",
"postal_code": "980311561",
"telephone_number": "253-813-0481",
"fax_number": "253-867-1606"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALEITHIAN",
"first_name": "CHERIE",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-11-18",
"last_updated": "2010-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "WA",
"license": "PY00002490",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kent, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.