Individual provider Active NPI

William Daniel La Valle, PSY.D.

  • Clinical Psychologist
  • Warrington, PA
National Provider Identifier
1487038972
Registry record updated Apr 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS017882 Issued in PA
Practice address
2017 Cedar Dr
Warrington, PA 18976-1381
Phone
(833) 742-2737
NPI assigned
Jul 14, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PS017882 PA
Clinical Psychologist 103TC0700X PS017882 PA Primary

Addresses

Primary practice location

2017 Cedar Dr
Warrington, PA 18976-1381

Mailing address

2017 Cedar Dr
Warrington, PA 18976-1381
Phone (833) 742-2737

Other practice location 1

6122 Ridge Ave
Philadelphia, PA 19128-1603
Phone (215) 487-1330

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

LicenseStateTypeSpecialty
PS017882PAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Quintessential Health PC Psychologist CurrentSince Apr 24, 2022 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.

NPI Registry JSON

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

{
    "created_epoch": "1436832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650412800000",
    "number": "1487038972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2017 CEDAR DR",
            "city": "WARRINGTON",
            "state": "PA",
            "postal_code": "189761381",
            "telephone_number": "833-742-2737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2017 CEDAR DR",
            "city": "WARRINGTON",
            "state": "PA",
            "postal_code": "189761381",
            "telephone_number": "833-742-2737"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6122 Ridge Ave",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191281603",
            "country_code": "US",
            "telephone_number": "215-487-1330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LA VALLE",
        "first_name": "WILLIAM",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-14",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS017882",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS017882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warrington, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2022; 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.