Valley Hope Community Partnership

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

70497 Issued in CA

Legal business name

VALLEY HOPE COMMUNITY PARTNERSHIP

Practice address

3340 Tully Rd Ste D4
Modesto, CA 95350-0852

Phone

(209) 496-4162

NPI assigned

May 3, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Michael Kelly Abbott, PSYDNPI 1346498151

Title

Psychologist

Phone

(209) 596-4162

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Kelly Abbott, PSYD

  • Psychologist
  • Modesto, CA
  • NPI 1346498151
  NPD Authorized official

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

{
    "created_epoch": "1525305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525305600000",
    "number": "1568951663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3340 TULLY RD STE D4",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953500852",
            "telephone_number": "209-496-4162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3340 TULLY RD STE D4",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953500852",
            "telephone_number": "209-496-4162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY HOPE COMMUNITY PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-03",
        "last_updated": "2018-05-03",
        "status": "A",
        "authorized_official_last_name": "ABBOTT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "KELLY",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "209-596-4162",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "CA",
            "license": "27701",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "70497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valley Associated Urology Medical Group Inc
• Valley Cancer Medical Group
• Valley Children'S Medical Group
• Valley Hand Center
• Valley Heart Associates Medical Group Inc
• Valley Internist Physicians Medical Group, Inc.
• Valley Interventional Pain Medical GRP
• Valley Medical Systems, Inc.
• Valley Nephrology Associates
• Valley Oak Pediatric Associates

• All providers in Modesto, CA
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2018; 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.