NPIMap

Organization Active NPI

Valley Mental Health Incorporated

  • Psychiatry Physician
  • Salt Lake City, UT
National Provider Identifier
1124085170
Registry record updated Aug 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
VALLEY MENTAL HEALTH INCORPORATED
Practice address
1141 E 3900 S
Suite A170
Salt Lake City, UT 84124-1215
Phone
(801) 284-4990
Fax
(801) 284-4991
NPI assigned
Apr 26, 2006
Last updated
Aug 25, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2011

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

Authorized official

Name
Ms. Debra Falvo, MHCA/RNNPI 1497745301
Title
Executive Director
Phone
(801) 253-7100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X UT
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X UT
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X UT
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X UT
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X UT
Psychiatric/Mental Health Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WP0808X UT
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X UT Primary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X UT

Addresses

Primary practice location

1141 E 3900 S
Suite A170
Salt Lake City, UT 84124-1215

Mailing address

5965 S 900 E
Suite 240
Salt Lake City, UT 84121-1720
Phone (801) 263-7100

Other names 1

  • CHILDREN'S OUTPATIENT SERVICES Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

Other NPIs on the same Medicare enrollment 20

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 20

National Provider Directory

National Provider Directory

Locations

1141 E 3900 S
Ste A170
Slc, UT 84124
Phone (801) 263-7152

Practitioners & affiliated clinicians

Practitioners 27

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.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314230400000",
    "number": "1124085170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5965 S 900 E",
            "address_2": "SUITE 240",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841211720",
            "telephone_number": "801-263-7100",
            "fax_number": "801-263-7123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1141 E 3900 S",
            "address_2": "SUITE A170",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841241215",
            "telephone_number": "801-284-4990",
            "fax_number": "801-284-4991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY MENTAL HEALTH INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-26",
        "last_updated": "2011-08-25",
        "status": "A",
        "authorized_official_last_name": "FALVO",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "801-253-7100",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MHCA/RN"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "UT",
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "UT",
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "UT",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "UT",
            "license": null,
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "UT",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "UT",
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "UT",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHILDREN'S OUTPATIENT SERVICES",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.