Active NPI
Valerie Ann Tsohantaridis, PSYD
- Clinical Psychologist
- Newberg, OR
National Provider Identifier
1912164427
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1876
- Practice address
- 470 Villa Rd
Newberg, OR 97132-1858 - Phone
- (503) 538-6045
- NPI assigned
- May 21, 2008
- Last updated
- May 21, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 1876 | OR | |
| Clinical Psychologist | 103TC0700X | 1876 | OR | Primary |
Addresses
Primary practice location
470 Villa Rd
Newberg, OR 97132-1858
Mailing address
470 Villa Rd
Newberg, OR 97132-1858
Phone (503) 538-6045
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 |
|---|---|---|---|
| 1876 | OR | MD | Naturopath |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211328000000",
"number": "1912164427",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "470 VILLA RD",
"city": "NEWBERG",
"state": "OR",
"postal_code": "971321858",
"telephone_number": "503-538-6045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "470 VILLA RD",
"city": "NEWBERG",
"state": "OR",
"postal_code": "971321858",
"telephone_number": "503-538-6045"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TSOHANTARIDIS",
"first_name": "VALERIE",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-21",
"last_updated": "2008-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "OR",
"license": "1876",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OR",
"license": "1876",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newberg, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.