Active NPI
Sara Valentino, LP
- Clinical Psychologist
- Saint Paul, MN
National Provider Identifier
1558818831
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6275
- Practice address
- 970 Raymond Ave Ste 105
Saint Paul, MN 55114-1701 - Phone
- (612) 440-1824
- NPI assigned
- Sep 5, 2016
- Last updated
- Feb 16, 2024
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 6275 | MN | Primary |
Addresses
Primary practice location
970 Raymond Ave Ste 105
Saint Paul, MN 55114-1701
Mailing address
970 Raymond Ave
Ste 105
Saint Paul, MN 55114-1701
Phone (612) 440-1824
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558818831 | Medicaid | MN |
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
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Philosophy
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708041600000",
"number": "1558818831",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "970 RAYMOND AVE",
"address_2": "STE 105",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551141701",
"telephone_number": "612-440-1824",
"fax_number": "651-730-6657"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "970 RAYMOND AVE STE 105",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551141701",
"telephone_number": "612-440-1824"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALENTINO",
"first_name": "SARA",
"name_prefix": "Dr.",
"credential": "LP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-05",
"last_updated": "2024-02-16",
"certification_date": "2024-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MN",
"license": "6275",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1558818831",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.