Active NPI
Deborah Lee Valenzuela, PSYD
- Clinical Psychologist
- N Highlands, CA
National Provider Identifier
1841473147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 20574
- Practice address
- 3628 Madison Ave Ste 6
N Highlands, CA 95660-5070 - Phone
- (916) 947-7300
- NPI assigned
- Dec 10, 2007
- Last updated
- Dec 7, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 20574 | CA | Primary |
Addresses
Primary practice location
3628 Madison Ave Ste 6
N Highlands, CA 95660-5070
Mailing address
3628 Madison Ave Ste 6
N Highlands, CA 95660-5070
Phone (916) 947-7300
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 |
|---|---|---|---|
| 20574 | CA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544140800000",
"number": "1841473147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3628 MADISON AVE STE 6",
"city": "N HIGHLANDS",
"state": "CA",
"postal_code": "956605070",
"telephone_number": "916-947-7300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3628 MADISON AVE STE 6",
"city": "N HIGHLANDS",
"state": "CA",
"postal_code": "956605070",
"telephone_number": "916-947-7300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALENZUELA",
"first_name": "DEBORAH",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-12-10",
"last_updated": "2018-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "20574",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in N Highlands, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.