Organization Active NPI

Juan Pablo Valbuena, PSYD, PLLC

  • Clinical Child & Adolescent Psychologist
  • Seattle, WA
National Provider Identifier
1598188955
Registry record updated Jan 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
License
PY60254025 Issued in WA
Legal business name
JUAN PABLO VALBUENA, PSYD, PLLC
Doing business as
Juan Pablo Valbuena
Practice address
2319 N 45TH St
#106
Seattle, WA 98103-6982
Phone
(425) 954-3453
NPI assigned
Jan 21, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2014

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

Authorized official

Name
Dr. Juan Pablo Valbuena, PSYDNPI 1518271303
Title
Manager
Phone
(425) 954-3453

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC2200X PY60254025 WA Primary

Addresses

Primary practice location

2319 N 45TH St
#106
Seattle, WA 98103-6982

Mailing address

2319 N 45TH St
#106
Seattle, WA 98103-6982
Phone (425) 954-3453

Other names 1

  • Juan Pablo Valbuena Doing business as

National Provider Directory

National Provider Directory

Locations

2319 N 45th St
Ste 106
Seattle, WA 98103
Phone (206) 619-3055

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1390262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390262400000",
    "number": "1598188955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2319 N 45TH ST",
            "address_2": "#106",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981036982",
            "telephone_number": "425-954-3453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2319 N 45TH ST",
            "address_2": "#106",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981036982",
            "telephone_number": "425-954-3453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUAN PABLO VALBUENA, PSYD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-21",
        "last_updated": "2014-01-21",
        "status": "A",
        "authorized_official_last_name": "VALBUENA",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "PABLO",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "425-954-3453",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "WA",
            "license": "PY60254025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Juan Pablo Valbuena",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.

Verify at the official NPI Registry.