NPI Code Detail JSON Logo

1730480856 NPI number — BEVERLY VALENTINE PSY.D.

NPI Number: 1730480856
Health Care Provider/Practitioner: BEVERLY VALENTINE PSY.D.

Information about “1730480856” NPI (BEVERLY VALENTINE PSY.D.) exists in 1730480856 in HTML format HTML  |  1730480856 in plain Text format TXT  |  1730480856 in PDF (Portable Document Format) PDF  |  1730480856 in an XML format XML  formats.

NPI Number : 1730480856 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1730480856",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "VALENTINE",
    "FirstName": "BEVERLY",
    "MiddleName": null,
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "PSY.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1734 E SILVER CREEK RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "GILBERT",
    "MailingAddressStateName": "AZ",
    "MailingAddressPostalCode": "85296-2041",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "480-341-1885",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "3303 E BASELINE RD STE 109",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "GILBERT",
    "PracticeLocationAddressStateName": "AZ",
    "PracticeLocationAddressPostalCode": "85234-2739",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "480-341-1885",
    "PracticeLocationAddressFaxNumber": "602-753-9527",
    "EnumerationDate": "11/04/2010",
    "LastUpdateDate": "03/15/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "103TC0700X",
        "TaxonomyName": "Clinical Psychologist",
        "LicenseNumber": "4244",
        "LicenseNumberStateCode": "AZ",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.