Active NPI
Maribel Michaela Contreras Valles
- Clinical Psychologist
- Northridge, CA
National Provider Identifier
1881997443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 27237
- Practice address
- 10150 Aldea Ave
Northridge, CA 91325-1547 - Phone
- (917) 400-2297
- Fax
- (818) 743-0695
- NPI assigned
- Dec 20, 2010
- 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 | 27237 | CA | Primary |
Addresses
Primary practice location
10150 Aldea Ave
Northridge, CA 91325-1547
Mailing address
10150 Aldea Ave
Northridge, CA 91325-1547
Phone (917) 400-2297
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10 | Medicaid | CA |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1292803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702512000000",
"number": "1881997443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10150 ALDEA AVE",
"city": "NORTHRIDGE",
"state": "CA",
"postal_code": "913251547",
"telephone_number": "917-400-2297",
"fax_number": "818-743-0695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10150 ALDEA AVE",
"city": "NORTHRIDGE",
"state": "CA",
"postal_code": "913251547",
"telephone_number": "917-400-2297",
"fax_number": "818-743-0695"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONTRERAS VALLES",
"first_name": "MARIBEL",
"middle_name": "MICHAELA",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-12-20",
"last_updated": "2023-12-14",
"certification_date": "2023-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "27237",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Northridge, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.