Organization Active NPI

Valmente Wellness and Healing Center, LLC

  • Psychiatry Physician
  • Colorado Springs, CO
National Provider Identifier
1073379459
Registry record updated Feb 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
VALMENTE WELLNESS AND HEALING CENTER, LLC
Practice address
5585 Erindale Dr Ste 203
Colorado Springs, CO 80918-6969
Phone
(719) 755-4190
Fax
(719) 466-2056
NPI assigned
Feb 23, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2024

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

Authorized official

Name
Dr. Julia Hajibrahim, MDNPI 1194942136
Title
Co-Owner
Phone
(719) 755-4190

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

5585 Erindale Dr Ste 203
Colorado Springs, CO 80918-6969

Mailing address

5585 Erindale Dr Ste 203
Colorado Springs, CO 80918-6969

National Provider Directory

National Provider Directory

Locations

5585 Erindale Dr
Ste 203
Colorado Springs, CO 80918
Phone (719) 306-4790

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1708646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708646400000",
    "number": "1073379459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5585 ERINDALE DR STE 203",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809186969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5585 ERINDALE DR STE 203",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809186969",
            "telephone_number": "719-755-4190",
            "fax_number": "719-466-2056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALMENTE WELLNESS AND HEALING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-23",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-23",
        "status": "A",
        "authorized_official_last_name": "HAJIBRAHIM",
        "authorized_official_first_name": "JULIA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "719-755-4190",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2024; 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.