Active NPI
Jaine M Foster-Valdez, PH,D,
- Clinical Neuropsychologist
- Tucson, AZ
National Provider Identifier
1831223577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 1323
- Practice address
- 5441 E 22ND St
Suite 135
Tucson, AZ 85711-5441 - Phone
- (520) 790-2580
- NPI assigned
- Mar 15, 2007
- Last updated
- Jun 18, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 1323 | AZ | Primary |
| Psychologist | 103T00000X | 1323 | AZ | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 1323 | AZ | |
| Rehabilitation Psychologist | 103TR0400X | 1323 | AZ |
Addresses
Primary practice location
5441 E 22ND St
Suite 135
Tucson, AZ 85711-5441
Mailing address
PO Box 17566
Tucson, AZ 85731-7566
Phone (520) 296-5909
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1323 | AZ | MD | Rehabilitation Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Physicians Healthcare | Psychologist | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245283200000",
"number": "1831223577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 17566",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857317566",
"telephone_number": "520-296-5909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5441 E 22ND ST",
"address_2": "SUITE 135",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857115441",
"telephone_number": "520-790-2580"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOSTER-VALDEZ",
"first_name": "JAINE",
"middle_name": "M",
"credential": "PH,D,",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-15",
"last_updated": "2009-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "AZ",
"license": "1323",
"primary": true
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "AZ",
"license": "1323",
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "AZ",
"license": "1323",
"primary": false
},
{
"code": "103TR0400X",
"taxonomy_group": "",
"desc": "Psychologist, Rehabilitation",
"state": "AZ",
"license": "1323",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.