Active NPI
Charles A Valentine, PSY.D.
- Psychologist
- Newton, MA
National Provider Identifier
1447326210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 8098
- Practice address
- 34 Eliot Memorial Rd
Newton, MA 02458-2704 - Phone
- (617) 969-7860
- NPI assigned
- Nov 25, 2006
- Sex
- Male
- 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 | 8098 | MA | Primary |
Addresses
Primary practice location
34 Eliot Memorial Rd
Newton, MA 02458-2704
Mailing address
34 Eliot Memorial Rd
Newton, MA 02458-2704
Phone (617) 969-7860
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| W06370 | Other | MA | BLUE CROSS BLUE SHEILD MA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8098 | MA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1432080000000",
"number": "1447326210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34 ELIOT MEMORIAL RD",
"city": "NEWTON",
"state": "MA",
"postal_code": "024582704",
"telephone_number": "617-969-7860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34 ELIOT MEMORIAL RD",
"city": "NEWTON",
"state": "MA",
"postal_code": "024582704",
"telephone_number": "617-969-7860"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALENTINE",
"first_name": "CHARLES",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-25",
"last_updated": "2015-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MA",
"license": "8098",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHEILD MA",
"identifier": "W06370",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Newton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.