Active NPI
Heriberto Vallescorbo, PSY.D
- Clinical Psychologist
- San Francisco, CA
National Provider Identifier
1588701106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY 8946
- Practice address
- 50 Laguna St
Apt. 206
San Francisco, CA 94102-6257 - Phone
- (415) 341-2454
- Fax
- (407) 482-2489
- NPI assigned
- Jan 31, 2007
- Last updated
- Jan 17, 2014
- Sex
- Male
- 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 | PY 8946 | FL | Primary |
Addresses
Primary practice location
50 Laguna St
Apt. 206
San Francisco, CA 94102-6257
Mailing address
1400 N Semoran Blvd Ste E
Orlando, FL 32807-3562
Phone (415) 341-2454
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
| License | State | Type | Specialty |
|---|---|---|---|
| PY 8946 | FL | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389916800000",
"number": "1588701106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 N SEMORAN BLVD STE E",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328073562",
"telephone_number": "415-341-2454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 LAGUNA ST",
"address_2": "APT. 206",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941026257",
"telephone_number": "415-341-2454",
"fax_number": "407-482-2489"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALLESCORBO",
"first_name": "HERIBERTO",
"name_prefix": "Dr.",
"credential": "PSY.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-31",
"last_updated": "2014-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY 8946",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.