Victoria Maria Valdesuso, PSYD, APRN,PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

105016 Issued in MT

Practice address

300 N Willson Ave Ste 602F-1
Bozeman, MT 59715-3551

Phone

(406) 404-5451

NPI assigned

Jul 28, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in MT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dr. Victoria M. Valdesuso, PC

  • Community/Behavioral Health Agency
  • Bozeman, MT
  • NPI 1700358066
  Medicare reassignment NPD Authorized official
• Bighorn Valley Health Center, Incorporated

  • Federally Qualified Health Center (FQHC)
  • Livingston, MT
  • NPI 1487741005
  Medicare reassignment NPD
• Bighorn Valley Health Center, Incorporated

  • Federally Qualified Health Center (FQHC)
  • Belgrade, MT
  • NPI 1366049967
  NPD
• Center for Clinical & Forensic Psychology Inc

  • Clinical Psychologist
  • Plantation, FL
  • NPI 1265459275
  NPD (past)
• Jewish Community Services of South Florida, Inc.

  • Home Delivered Meals
  • North Miami, FL
  • NPI 1609670702
  NPD (past)
• Jewish Community Services of South Florida, Inc.

  • Mental Health Counselor
  • North Miami, FL
  • NPI 1831167246
  NPD (past)

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542585600000",
    "number": "1194725499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2412 PAR CT APT D",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597151514",
            "telephone_number": "406-404-5451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N WILLSON AVE STE 602F-1",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597153551",
            "telephone_number": "406-404-5451"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 N Ocean Dr",
            "address_2": "Suite #212",
            "address_purpose": "LOCATION",
            "city": "Hollywood",
            "state": "FL",
            "postal_code": "330191728",
            "country_code": "US",
            "telephone_number": "786-263-3854",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VALDESUSO",
        "first_name": "VICTORIA",
        "middle_name": "MARIA",
        "name_prefix": "Dr.",
        "credential": "PSYD, APRN,PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-28",
        "last_updated": "2018-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY6404",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP2124372",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "ARNP2124372",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MT",
            "license": "105016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karina Ustinova, LCPC
• Adrian B Utsch, PSYD
• Tia Utzinger, LCSW
• Vail Physical Therapy & Sports Rehab.
• Juliette Vail, RPT
• Carly L Valentine
• Joy A Valentine, LCSW
• Valley Haven Counseling LLC
• John A Vallin, M.D.
• Mary Snipstead Van Allen, PHARMD

• Psychiatric/Mental Health Nurse Practitioner in Bozeman, MT
• Providers in Bozeman, MT by specialty
• Psychiatric/Mental Health Nurse Practitioner in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.