Stephen K. Valle, SC.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

1957 Issued in MA

Practice address

181 N Common St
Lynn, MA 01905-2506

Phone

(617) 257-1259

Fax

(781) 596-0663

NPI assigned

Jan 8, 2009

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Valle Associates, Inc

  • Rehabilitation Psychologist
  • Lynn, MA
  • NPI 1588859698
  NPD (past) Authorized official

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

{
    "created_epoch": "1231372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231372800000",
    "number": "1568609865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 N COMMON ST",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019052506",
            "telephone_number": "617-257-1259",
            "fax_number": "781-596-0663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 N COMMON ST",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019052506",
            "telephone_number": "617-257-1259",
            "fax_number": "781-596-0663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALLE",
        "first_name": "STEPHEN",
        "middle_name": "K.",
        "name_prefix": "Dr.",
        "credential": "SC.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-08",
        "last_updated": "2009-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MA",
            "license": "1957",
            "primary": true
        },
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "MA",
            "license": "1957",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF MASSACHUSETTS",
            "identifier": "W10202",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Uv Healthcare LLC
• Juana L Vainer, M.D.
• Richard Cornell Valentine Jr.
• Darlene Altagracia Valenzuela
• Valle Associates, Inc
• Clark Van Den Berghe, MD
• Anne-Terese Van Der Burg
• Jaime Victor Vara, B.A
• Johanna Natividad Vargas, B.A.
• Elena Y Vasquez

• Psychologist in Lynn, MA
• Providers in Lynn, MA by specialty
• Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2009; 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.