Active NPI
Lori R Vallelunga, PH.D.
- Clinical Psychologist
- St Petersburg, FL
National Provider Identifier
1508917402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY-9797
- Practice address
- 6 Academy Way S Apt 221
St Petersburg, FL 33711-5130 - Phone
- (708) 261-6086
- NPI assigned
- Jan 16, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY-9797 | FL | Primary |
Addresses
Primary practice location
6 Academy Way S Apt 221
St Petersburg, FL 33711-5130
Mailing address
6 Academy Way S Apt 221
St Petersburg, FL 33711-5130
Phone (708) 261-6086
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY-9797 | FL | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Baptist Hospital of Florida Inc | 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.
-
- Home Health Agency
- Jacksonville, FL
- NPI 1841351632
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666051200000",
"number": "1508917402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 ACADEMY WAY S APT 221",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337115130",
"telephone_number": "708-261-6086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 ACADEMY WAY S APT 221",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337115130",
"telephone_number": "708-261-6086"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALLELUNGA",
"first_name": "LORI",
"middle_name": "R",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-16",
"last_updated": "2022-10-18",
"certification_date": "2022-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY-9797",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.