Individual provider Active NPI

Valeria N Valdivieso Wright, PSY.D

  • Clinical Psychologist
  • Atlanta, GA
National Provider Identifier
1538683115
Registry record updated Aug 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY004696 Issued in GA
Practice address
1074 Ponce de Leon Ave NE Ste E
Atlanta, GA 30306-4216
Phone
(470) 502-5130
NPI assigned
Jul 26, 2017
Reactivated
Dec 21, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PSY004696 GA Primary

Addresses

Primary practice location

1074 Ponce de Leon Ave NE Ste E
Atlanta, GA 30306-4216

Mailing address

1074 Ponce de Leon Ave NE Ste E
Atlanta, GA 30306-4216

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PSY004696GAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Valdivieso Psych LLC Clinical CurrentSince Aug 17, 2025 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": "1501027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754611200000",
    "number": "1538683115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1074 PONCE DE LEON AVE NE STE E",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303064216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1074 PONCE DE LEON AVE NE STE E",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303064216",
            "telephone_number": "470-502-5130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALDIVIESO WRIGHT",
        "first_name": "VALERIA",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-26",
        "last_updated": "2025-08-08",
        "certification_date": "2025-08-08",
        "deactivation_date": "2018-02-26",
        "reactivation_date": "2021-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "PSY004696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2025; 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.