Active NPI
Patricia Del Valle, PSY.D
- Clinical Psychologist
- Glendora, CA
National Provider Identifier
1740308477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY23550
- Practice address
- 1160 S Grand Ave
Glendora, CA 91740-5000 - Phone
- (626) 807-1783
- NPI assigned
- Mar 27, 2007
- Sex
- Female
- 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 | PSY23550 | CA | Primary |
Addresses
Primary practice location
1160 S Grand Ave
Glendora, CA 91740-5000
Mailing address
1160 S Grand Ave
Glendora, CA 91740-5000
Phone (626) 335-5980
Other practice location 1
415 W Route 66 Ste 202
Glendora, CA 91740-4335
Phone (626) 963-4467
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120815000655 | CA | Practitioner - Clinical Psychologist | 2668628199 | Practice locations: Glendora, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
415 W Route 66
Suite 202
Glendora, CA 91740-4335
Phone (626) 963-4467
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY23550 | CA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Perkins Counseling and Psychological Services, PLLC | Current | Accepting new patients | |
| Pacific Clinics | Past | Accepting new patients |
Locations
10580 Ligon Mill Rd
#210
Wake Forest, NC 27587
Phone (919) 263-9592
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- patricia.delvalle.p8@direct.bfmc.nextgenshare.com
Organizations & group practices 2
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.
-
- Mental Health Counselor
- Wake Forest, NC
- NPI 1750641213
-
- Community/Behavioral Health Agency
- Ontario, CA
- NPI 1902273923
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623888000000",
"number": "1740308477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1160 S GRAND AVE",
"city": "GLENDORA",
"state": "CA",
"postal_code": "917405000",
"telephone_number": "626-335-5980",
"fax_number": "626-335-5989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1160 S GRAND AVE",
"city": "GLENDORA",
"state": "CA",
"postal_code": "917405000",
"telephone_number": "626-807-1783"
}
],
"practiceLocations": [
{
"address_1": "415 W Route 66 Ste 202",
"address_purpose": "LOCATION",
"city": "Glendora",
"state": "CA",
"postal_code": "917404335",
"country_code": "US",
"telephone_number": "626-963-4467",
"fax_number": "626-963-9543",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DEL VALLE",
"first_name": "PATRICIA",
"name_prefix": "Dr.",
"credential": "PSY.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-27",
"last_updated": "2021-06-17",
"certification_date": "2021-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY23550",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glendora, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.