Michael Valalik Pmhnp BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

6276 Issued in CT

Legal business name

MICHAEL VALALIK PMHNP BC

Practice address

770 Saybrook Rd BLDG B
Middletown, CT 06457-4739

Phone

(203) 640-1563

NPI assigned

Oct 28, 2015

Last updated

Aug 26, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael Valalik, PMHNP-BCNPI 1669841987

Title

Psychiatric Nurse Practitioner

Phone

(203) 640-1563

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael Valalik, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Middletown, CT
  • NPI 1669841987
  Authorized official Same address or phone
• Holly Varanelli, LCSW

  • Clinical Social Worker
  • Winsted, CT
  • NPI 1053731158
  NPD (past)
• Gina C Vice Hlavacek, PSYD

  • Psychologist
  • Cheshire, CT
  • NPI 1841363058
  NPD (past)
• Candice L Weigle-Spier, PSYD

  • Psychologist
  • Middletown, CT
  • NPI 1245213487
  NPD (past)

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

{
    "created_epoch": "1445990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629936000000",
    "number": "1104298298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2486",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064570034",
            "telephone_number": "203-640-1563",
            "fax_number": "203-774-1161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 SAYBROOK RD BLDG B",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064574739",
            "telephone_number": "203-640-1563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL VALALIK PMHNP BC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-28",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-26",
        "status": "A",
        "authorized_official_last_name": "VALALIK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PSYCHIATRIC NURSE PRACTITIONER",
        "authorized_official_telephone_number": "203-640-1563",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "6276",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI NUMBER",
            "identifier": "1669841987",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• MHS Primary Care Inc. (Middlesex Hospital Surgical Alliance)
• MHS Primary Care, Inc
• Michael Brugg DMD
• Michael Miarecki Counseling LLC
• Michael Vajda, D.C., L.L.C.
• Eric Brian Michel, D.O.
• Katherine Miciak
• Brooklyn Larisa Mickolyzck, DNP, FNP-BC
• Mid State MD, LLC
• Middesex Dental Sleep Medicine LLC

• Psychiatric/Mental Health Nurse Practitioner in Middletown, CT
• Providers in Middletown, CT by specialty
• Psychiatric/Mental Health Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2021; 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.