Valley Mental Health Incorporated
Organization Active NPI Child & Adolescent Psychiatry Physician · Kearns, UT
NPI 1023074556 · NPPES record last updated Aug 25, 2011
Key facts
- NPI
- 1023074556
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Child & Adolescent Psychiatry Physician 2084P0804X
- Legal business name
- VALLEY MENTAL HEALTH INCORPORATED
- Practice address
- 3809 W 6200 S
Kearns, UT 84118-3725 - Phone
- (801) 963-4200
- Fax
- (801) 963-4299
- NPI assigned
- Apr 24, 2006
- Organization subpart
- No
Authorized official
- Name
- Ms. Debra Falvo, MHCA/RN
- Title
- Executive Director
- Phone
- (801) 263-7100
Other NPIs on the same Medicare enrollment 20
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031111000937 | UT | Part B Supplier - Clinic/Group Practice | 0042121196 |
Receives reassigned benefits from 129 practitioners 20 other NPIs on this enrollment This NPI is an additional NPI on the enrollment |
National Provider Directory
Locations
5965 S 900 E
Murray, UT 84121
Phone (801) 263-7138
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor |
101YM0800X | UT | ||
| Professional Counselor |
101YP2500X | UT | ||
| Clinical Psychologist |
103TC0700X | UT | ||
| Social Worker |
104100000X | UT | ||
| Clinical Social Worker |
1041C0700X | UT | ||
| Child & Adolescent Psychiatry Physician |
2084P0804X | UT | Yes |
Addresses
Primary practice location
3809 W 6200 S
Kearns, UT 84118-3725
Mailing address
5965 S 900 E
Salt Lake City, UT 84121-1720
Phone (801) 263-7100
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2423 | Other | UT | PEHP |
Other names
- ARTEC WEST CAMPUS
Other providers in Kearns, UT
- Summit Senior Living LLC
- Synergy Family Services
- Heidi Dawn Thompson
- David Truong
- Utah Youth Village
- Hailey Vandenhazel
- Walgreen Co
- Arden L Weintraub
- Joel Kay Wendel
- Cassandra Gat Westenskow
All providers in Kearns, UT · Child & Adolescent Psychiatry Physician in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 25, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.