Individual provider Active NPI

Beverly Valentine, PSY.D.

  • Clinical Psychologist
  • Gilbert, AZ
National Provider Identifier
1730480856
Registry record updated Mar 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
4244 Issued in AZ
Practice address
3303 E Baseline Rd Ste 109
Gilbert, AZ 85234-2739
Phone
(480) 341-1885
Fax
(602) 753-9527
NPI assigned
Nov 4, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 4244 AZ Primary

Addresses

Primary practice location

3303 E Baseline Rd Ste 109
Gilbert, AZ 85234-2739

Mailing address

1734 E Silver Creek Rd
Gilbert, AZ 85296-2041
Phone (480) 341-1885

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Psychologist Current Accepting new patients
Yoches Consulting, LLC Clinical CurrentSince Nov 1, 2020 Accepting new patients
Lifespan Behavioral Health, LLC Clinical PastSince Feb 1, 2009 Accepting new patients

Locations

3303 E Baseline Rd
Ste 109
Gilbert, AZ 85234
Phone (480) 278-5290

2500 S Power Rd
Ste 223
Mesa, AZ 85209

Interoperability endpoints

  • Direct secure messaging: beverlycostantini@tdh.allscriptsdirect.net

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1288828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678838400000",
    "number": "1730480856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1734 E SILVER CREEK RD",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852962041",
            "telephone_number": "480-341-1885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3303 E BASELINE RD STE 109",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342739",
            "telephone_number": "480-341-1885",
            "fax_number": "602-753-9527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALENTINE",
        "first_name": "BEVERLY",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-04",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AZ",
            "license": "4244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2023; 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.