Active NPI
William Daniel La Valle, PSY.D.
- Clinical Psychologist
- Warrington, PA
National Provider Identifier
1487038972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PS017882
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| PS017882 | PA | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quintessential Health PC | Psychologist | Current | 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.
-
- Psychologist
- Warrington, PA
- NPI 1992385462
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.