Active NPI
David J. Valle, LICPSY
- Counseling Psychologist
- Brewster, MA
National Provider Identifier
1487781761
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 3834
- Practice address
- 24 Bullrake LN
Brewster, MA 02631-2054 - Phone
- (508) 896-1111
- Fax
- (508) 896-1111
- NPI assigned
- Feb 27, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 3834 | MA | Primary |
Addresses
Primary practice location
24 Bullrake LN
Brewster, MA 02631-2054
Mailing address
24 Bullrake LN
Brewster, MA 02631-2054
Phone (508) 896-1111
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 |
|---|---|---|---|
| 3834 | MA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1487781761",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 BULLRAKE LN",
"city": "BREWSTER",
"state": "MA",
"postal_code": "026312054",
"telephone_number": "508-896-1111",
"fax_number": "508-896-1111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 BULLRAKE LN",
"city": "BREWSTER",
"state": "MA",
"postal_code": "026312054",
"telephone_number": "508-896-1111",
"fax_number": "508-896-1111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALLE",
"first_name": "DAVID",
"middle_name": "J.",
"name_prefix": "Mr.",
"credential": "LICPSY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "MA",
"license": "3834",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brewster, MA
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.