Organization Active NPI

Valleyhead, Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Lenox, MA
National Provider Identifier
1104027499
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
1475451 Issued in MA
Legal business name
VALLEYHEAD, INC.
Practice address
79 Reservoir Rd
Lenox, MA 01240-2008
Phone
(413) 637-3635
Fax
(413) 637-2912
NPI assigned
May 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Raymond Joseph Crowley, PHD
Title
Chief Operating Officer
Phone
(413) 637-3635

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X 1475451 MA Primary

Addresses

Primary practice location

79 Reservoir Rd
Lenox, MA 01240-2008

Mailing address

79 Reservoir Road
Lenox, MA 01240
Phone (413) 637-3635

National Provider Directory

National Provider Directory

Locations

79 Reservoir Rd
Lenox, MA 01240
Phone (413) 637-3635

NPI Registry JSON

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104027499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 RESERVOIR ROAD",
            "city": "LENOX",
            "state": "MA",
            "postal_code": "01240",
            "telephone_number": "413-637-3635",
            "fax_number": "413-637-2912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 RESERVOIR RD",
            "city": "LENOX",
            "state": "MA",
            "postal_code": "012402008",
            "telephone_number": "413-637-3635",
            "fax_number": "413-637-2912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEYHEAD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CROWLEY",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "413-637-3635",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "MA",
            "license": "1475451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lenox, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.