S. C. Valessares, Psy.D., Inc.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

071-006810 Issued in IL

Legal business name

S. C. VALESSARES, PSY.D., INC.

Practice address

3 Squire LN
St Charles, IL 60174-1413

Phone

(630) 881-7601

Fax

(630) 513-6839

NPI assigned

Jul 15, 2008

Organization subpart

No

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

Authorized official

Name

Susan Christine Valessares, PSY.D.NPI 1114040227

Title

President

Phone

(630) 881-7601

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Susan Christine Valessares, PSY.D.

  • Clinical Neuropsychologist
  • St Charles, IL
  • NPI 1114040227
  NPD (past) Authorized official

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

{
    "created_epoch": "1216080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216080000000",
    "number": "1962666362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 SQUIRE LN",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601741413",
            "telephone_number": "630-881-7601",
            "fax_number": "630-513-6839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 SQUIRE LN",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601741413",
            "telephone_number": "630-881-7601",
            "fax_number": "630-513-6839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S. C. VALESSARES, PSY.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-15",
        "last_updated": "2008-07-15",
        "status": "A",
        "authorized_official_last_name": "VALESSARES",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "CHRISTINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-881-7601",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "IL",
            "license": "071-006810",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071-006810",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rush-Select Holdings, LLC.
• Rush-Select Holdings, LLC.
• Margarita Munoz Rusiana
• Sarah Marie Russell, M.A., CCC-SLP
• Joshua Matthew Rylko
• Carissa Caitlin Sabal, LCPC
• Akila Sachdev, LCSW
• Parvis Sadigh, M.D.
• Sage Healing Collective S.C.
• Dawn Marie Sage, LCPC

• Clinical Neuropsychologist in St Charles, IL
• Providers in St Charles, IL by specialty
• Clinical Neuropsychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.

Verify at the official NPI Registry.