Ana Colleen Valle, MA

Primary specialty

PsychologistTaxonomy code 103T00000X

License

SE-203957 Issued in ID

Practice address

2463 E Gala St
Meridian, ID 83642-5209

Phone

(208) 955-7333

NPI assigned

Mar 15, 2024

Last updated

Mar 15, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Northwest Neurobehavioral Health, LLC

  • Clinical Social Worker
  • Meridian, ID
  • NPI 1013223445
  NPD (past)

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

{
    "created_epoch": "1710460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710460800000",
    "number": "1437918125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2463 E GALA ST",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836425209",
            "telephone_number": "208-955-7333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2463 E GALA ST",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836425209",
            "telephone_number": "208-955-7333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALLE",
        "first_name": "ANA",
        "middle_name": "COLLEEN",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-15",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "ID",
            "license": "SE-203957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Sue Uranga
• Allison Urbatchka, PT, DPT
• Urology Clinic
• Lauren Mariet Valentine, DPT
• Michael Andrew Valerio, PA
• Valley Medical LLC
• Valor Family Therapy
• Miranda Michelle Van Dam, CSFA
• Benjamin Alexander Van Hoogen, FNP-C
• Chelsea Marie Van Wagenen, RN, NTP, RWS

• Psychologist in Meridian, ID
• Providers in Meridian, ID by specialty
• Psychologist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2024; 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.