Individual provider Active NPI

Ronald J Valentine, PHD

  • Psychologist
  • Garner, NC
National Provider Identifier
1790899797
Registry record updated Dec 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1118 Issued in NC
Practice address
1201 Aversboro Rd
Suite C
Garner, NC 27529-0921
Phone
(919) 779-3188
Fax
(919) 779-4223
NPI assigned
Aug 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 1118 NC Primary

Addresses

Primary practice location

1201 Aversboro Rd
Suite C
Garner, NC 27529-0921

Mailing address

PO Box 921
Garner, NC 27529-0921
Phone (919) 779-3188

Other identifiers 7

IdentifierTypeStateIssuer
6172035OtherNCUBH
7080073OtherAETNA BEHAVIORAL HEALTH
1049234OtherCIGNA BEHAVORIAL HEALTH
5613254570002OtherCIGNA PPO
037018OtherVALUE OPTIONS
93981OtherMEDCOST
04815OtherNCBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120319000826 NC Practitioner - Clinical Psychologist 0749440337 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1201 Aversboro Rd
Suite C
Garner, NC 27529-4586
Phone (919) 779-3188

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1118NCMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Valentine and Associates PA Psychologist CurrentSince Jul 28, 1994 Accepting new patients
Valentine and Associates, P.a. Past Accepting new patients
Valentine and Associates PA PastSince Jul 28, 1994 Accepting new patients

Locations

1201 Aversboro Rd
Ste C
Garner, NC 27529
Phone (919) 335-7595

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": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324252800000",
    "number": "1790899797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 921",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275290921",
            "telephone_number": "919-779-3188",
            "fax_number": "919-779-4223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 AVERSBORO RD",
            "address_2": "SUITE C",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275290921",
            "telephone_number": "919-779-3188",
            "fax_number": "919-779-4223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALENTINE",
        "first_name": "RONALD",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2011-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "1118",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UBH",
            "identifier": "6172035",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA BEHAVIORAL HEALTH",
            "identifier": "7080073",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA BEHAVORIAL HEALTH",
            "identifier": "1049234",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PPO",
            "identifier": "5613254570002",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "037018",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "93981",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "04815",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Garner, NC

Sources for this page

Verify at the official NPI Registry.