Juan Pablo Valbuena, PSY.D.

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

PY60254025 Issued in WA

Practice address

2319 N 45TH St
#106
Seattle, WA 98103-6982

Phone

(425) 954-3453

NPI assigned

Aug 4, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Juan Pablo Valbuena, PSYD, PLLC

  dba Juan Pablo Valbuena

  • Clinical Child & Adolescent Psychologist
  • Seattle, WA
  • NPI 1598188955
  NPD (past) Authorized official

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

{
    "created_epoch": "1280880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372982400000",
    "number": "1518271303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2319 N 45TH ST",
            "address_2": "#106",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981036982",
            "telephone_number": "425-954-3453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2319 N 45TH ST",
            "address_2": "#106",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981036982",
            "telephone_number": "425-954-3453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALBUENA",
        "first_name": "JUAN",
        "middle_name": "PABLO",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-08-04",
        "last_updated": "2013-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "IL",
            "license": "071007308",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "WA",
            "license": "PY60254025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Funda Vakar-Lopez, M.D.
• Amanda Vakerics, MS, ATC, AT/L
• Jimena Valades
• Jacqueline Valadez
• Sanhitha Valasareddy
• Helene Valderaz, PHARM.D.
• Danielle Valdes, MT-BC
• Amy Valdez
• Andrea Marie Valdez, ARNP
• Douglas Valdez, LMHC

• Clinical Child & Adolescent Psychologist in Seattle, WA
• Providers in Seattle, WA by specialty
• Clinical Child & Adolescent Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2013; 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.