Active NPI
Candace Leavitt Valenstein, PHD
- Psychologist
- Gainesville, FL
National Provider Identifier
1457478653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PY0004678
- Practice address
- 2121 NW 40TH Terr
Suite B
Gainesville, FL 32605 - Phone
- (352) 336-2888
- Fax
- (352) 371-1730
- NPI assigned
- Mar 23, 2007
- Sex
- Female
- Sole proprietor
- No
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 | PY0004678 | FL | Primary |
Addresses
Primary practice location
2121 NW 40TH Terr
Suite B
Gainesville, FL 32605
Mailing address
2121 NW 40TH Terr
Suite B
Gainesville, FL 32605
Phone (352) 336-2888
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY0004678 | FL | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ernest J Bordini PHD & Assoc PA | Psychologist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Clinical Psychology Assoc of North Central Florida PA
- Psychologist
- Gainesville, FL
- NPI 1508846254
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1457478653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2121 NW 40TH TERR",
"address_2": "SUITE B",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "32605",
"telephone_number": "352-336-2888",
"fax_number": "352-371-1730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2121 NW 40TH TERR",
"address_2": "SUITE B",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "32605",
"telephone_number": "352-336-2888",
"fax_number": "352-371-1730"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALENSTEIN",
"first_name": "CANDACE",
"middle_name": "LEAVITT",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "FL",
"license": "PY0004678",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.