LORI R VALLELUNGA (PH.D.) – Clinical Psychologist, NPI 1508917402

Clinical Psychologist

LORI R VALLELUNGA (PH.D.) is a healthcare provider. based in Fleming island, Florida. specializing in Clinical Psychologist. They hold the professional credentials PH.D.. They hold a License No. PY-9797 (FL). The NPI Number for LORI R VALLELUNGA (PH.D.) is 1508917402

Main info

Female

Sole Proprietor

32 Years Of Experience

Accepts Medicare Assignment

Name

LORI R VALLELUNGA (PH.D.)

NPI

1508917402

Phone

(904) 376-3800

Address

1747 BAPTIST CLAY DR STE 350

Enumeration Date

16 January 2007

Last Update Date

18 October 2022

Doctor Profile

Medical School Name

OTHER

Secondary Phone

9043763800

Graduation Year

1994 (32 years ago)

PAC ID

0941561252

Group Practice PAC ID

7315166394

Professional Enrollment ID

I20180301001727

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience62

Completeness75

Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for LORI R VALLELUNGA (PH.D.)

1747 BAPTIST CLAY DR STE 350
FLEMING ISLAND, FL 320038504
Phone: (904) 376-3800
Fax: (904) 396-8977
Type: Location
14540 OLD SAINT AUGUSTINE RD STE 2591
JACKSONVILLE, FL 322587420
Phone: (904) 376-3800
Type: Location
6 ACADEMY WAY S APT 221
ST PETERSBURG, FL 337115130
Phone: (708) 261-6086
Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32003)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 7315166394View full group profile

Name	Specialty	State
RICHARD ZIEWAI WU (DO)	-	FL
DR. SARAH ROBINSON (PH.D.)	-	FL
SARA CUMMINGS BERTOCH (PHD)	-	FL
AMBER LYNN JOHNSON (M.D.)	P S Y C H I A T R Y	GA
DR. GEORGE PAUL ROYAL (PH.D.)	-	FL
KAREN C SANDBACH (PH.D.)	Clinical Psychologist	FL
DONALD POLLOCK (MD.)	-	FL
DR. KRISTEN KELLEY (PSYD)	P S Y C H I A T R Y	FL
ANDREW BROWN KING (PHD)	Clinical Psychologist	FL
DR. KATIE S MAHON (PH.D.)	Clinical Psychologist	FL

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Frequently asked questions

What unique ID ties claims to LORI R VALLELUNGA (PH.D.)?

NPI 1508917402 is assigned to LORI R VALLELUNGA (PH.D.) under the national enumeration system.

Is LORI R VALLELUNGA (PH.D.)'s enrollment marked active?

An active flag here means the NPI record is not in a deactivated state.

What does LORI R VALLELUNGA (PH.D.) treat or focus on?

Patients typically see LORI R VALLELUNGA (PH.D.) under the specialty Clinical Psychologist. Clinical services aligned with this taxonomy classification.

Where is LORI R VALLELUNGA (PH.D.)'s primary listing?

We display Fleming Island, Florida because that is what the record indicates for LORI R VALLELUNGA (PH.D.).

What if Fleming Island, Florida seems incomplete?

Street-level detail can be omitted — open the full address list for this NPI.