Carlos F Valle, MD

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

198285 Issued in NY

Practice address

291 Wall St
Kingston, NY 12401-3849

Phone

(845) 339-3736

Fax

(845) 339-3736

NPI assigned

May 2, 2006

Last updated

Oct 12, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Other, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Columbia CountyGroup PAC ID 8022003409, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Columbia County

  dba Columbia County Mental Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Hudson, NY
  • NPI 1689618977
  Medicare reassignment Care Compare group NPD
• Columbia County

  • Ambulance
  • Hudson, NY
  • NPI 1972056026
  NPD

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444608000000",
    "number": "1760440770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "291 WALL ST",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124013849",
            "telephone_number": "845-339-3736",
            "fax_number": "845-339-3736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "291 WALL ST",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124013849",
            "telephone_number": "845-339-3736",
            "fax_number": "845-339-3736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALLE",
        "first_name": "CARLOS",
        "middle_name": "F",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-02",
        "last_updated": "2015-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NY",
            "license": "198285",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03686660",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel J Uttendorfer, R.N.
• Nancy Uttendorfer, M.S., CCC-SLP
• Gianna Vacca
• Roya Vahedi, LPN
• Jeanne Valentine-Chase, N.P.
• Wendy Rose Van Allen, MHC
• Laura Van Vlack, LCSW-R
• Kimberly Van, MD
• Carla Rose Vandeusen, LMT
• Mary Vandezande, LCSW

• Child & Adolescent Psychiatry Physician in Kingston, NY
• Providers in Kingston, NY by specialty
• Child & Adolescent Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2015; 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.

Verify at the official NPI Registry.