Active NPI
Iren Valentine, PSY.D.
- Psychologist
- Rensselaer, NY
National Provider Identifier
1740505361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 017325
- Practice address
- 52 Washington St
Rensselaer, NY 12144-2834 - Phone
- (518) 402-7653
- Fax
- (518) 402-7204
- NPI assigned
- Apr 7, 2010
- Last updated
- Apr 11, 2013
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 017325 | NY | Primary |
Addresses
Primary practice location
52 Washington St
Rensselaer, NY 12144-2834
Mailing address
3 Thistle Rd
Wilton, NY 12831-3207
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 |
|---|---|---|---|
| 017325 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1270598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365638400000",
"number": "1740505361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 THISTLE RD",
"city": "WILTON",
"state": "NY",
"postal_code": "128313207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "52 WASHINGTON ST",
"city": "RENSSELAER",
"state": "NY",
"postal_code": "121442834",
"telephone_number": "518-402-7653",
"fax_number": "518-402-7204"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALENTINE",
"first_name": "IREN",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-04-07",
"last_updated": "2013-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "017325",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rensselaer, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.