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VALATIE PSYCHOLOGICAL SERVICES, PLLC
NPI 1104456193
Psychologist - Clinical in Valatie, NY

Active since January 19, 2020
1042 KINDERHOOK ST, VALATIE, NY 12184(518) 758-2237 Get Directions Write a Review

NPPES record last updated: March 1, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Valatie Psychological Services, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VALATIE PSYCHOLOGICAL SERVICES, PLLC (NPI 1104456193) is a healthcare organization registered as a clinical in Valatie, New York and active in the NPI registry since January 2020. The organization lists Peter Andre Moisan, Staff Psychologist, as its authorized official.

NPPES Registry Identity

NPI1104456193
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameVALATIE PSYCHOLOGICAL SERVICES, PLLC
Location Address1042 KINDERHOOK STValatie, NY 12184-9743
Mailing AddressPo Box 560Valatie, NY 12184-0560 · (518) 610-8103 · Fax (518) 732-1137
Phone(518) 758-2237
Organization SubpartNo
Authorized OfficialPeter Andre MoisanStaff Psychologist · (518) 610-8103
Enumeration DateJanuary 19, 2020
Last NPPES UpdateMarch 1, 2020
NPPES CertifiedMarch 1, 2020
✔ NPI 1104456193 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
1042 KINDERHOOK ST, Valatie, NY 12184
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Valatie Psychological Services, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Valatie Psychological Services, PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Peter Moisan, PHD
Clinical Psychologist
NPI 1598835175
3055 ROUTE 9
Valatie, NY 12184
(518) 758-2237
✔ PECOS✔ Accepts Medicare3.0 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Valatie Psychological Services, PLLC's NPI number?

The NPI number for Valatie Psychological Services, PLLC is 1104456193. It was assigned to this organization in the NPPES registry on January 19, 2020.

Where is Valatie Psychological Services, PLLC located?

Valatie Psychological Services, PLLC is located at 1042 Kinderhook St, Valatie, NY 12184. The listed phone number is (518) 758-2237.

What is Valatie Psychological Services, PLLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Valatie Psychological Services, PLLC enrolled in Medicare?

Yes. Valatie Psychological Services, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Valatie Psychological Services, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Valatie Psychological Services, PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Valatie Psychological Services, PLLC was last updated on March 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.