Vallerie Elizabeth Coleman, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY12592 Issued in CA

Practice address

425 W Carlisle Rd
Thousand Oaks, CA 91361-5314

Phone

(310) 367-2592

NPI assigned

Apr 20, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective May 1, 2024 through May 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Stand Inbalance, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Westlake Village, CA
  • NPI 1902383565

  Psychologist

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629849600000",
    "number": "1962629899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5655 LINDERO CANYON RD STE 726",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913624068",
            "telephone_number": "310-367-2592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 W CARLISLE RD",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913615314",
            "telephone_number": "310-367-2592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "VALLERIE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-20",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY12592",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY12592",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Liliana Cohen, M.D.
• Cheryl Michelle Cohler, M.D.
• Christine M Cole, M.D.
• Amber Lea Coleman, M.D.
• Monte Carol Coleman, MSW, LCSW
• Kathryn Collins, RD
• Tanya Marynka Collins, M.D.
• Community Medical Group Inc
• Compass Charter Schools of Los Angeles
• Compass Charter Schools of San Diego

• Clinical Psychologist in Thousand Oaks, CA
• Providers in Thousand Oaks, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.