Active NPI
Valley Psychiatric Services, LLC
- Adult Mental Health Clinic/Center
- Surprise, AZ
National Provider Identifier
1396369310
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- Legal business name
- VALLEY PSYCHIATRIC SERVICES, LLC
- Practice address
- 14365 W Greer St
Surprise, AZ 85379-4355 - Phone
- (631) 278-4671
- NPI assigned
- Jun 5, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Darlene Marie Heimmer, MSN, APRN, PMHNP-BC
- Title
- Sole Owner and Manager
- Phone
- (631) 278-3782
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | Primary |
Addresses
Primary practice location
14365 W Greer St
Surprise, AZ 85379-4355
Mailing address
13954 W Waddell Rd Ste 103-470
Surprise, AZ 85379-8750
Phone (623) 236-0084
National Provider Directory
National Provider DirectoryLocations
13954 W Waddell Rd
Ste 103470
Surprise, AZ 85379
13954 W Waddell Rd
Ste 103243
Surprise, AZ 85379
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591315200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1595203200000",
"number": "1396369310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13954 W WADDELL RD STE 103-470",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853798750",
"telephone_number": "623-236-0084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14365 W GREER ST",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853794355",
"telephone_number": "631-278-4671"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VALLEY PSYCHIATRIC SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-06-05",
"last_updated": "2020-07-20",
"certification_date": "2020-07-20",
"status": "A",
"authorized_official_last_name": "HEIMMER",
"authorized_official_first_name": "DARLENE",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "SOLE OWNER AND MANAGER",
"authorized_official_telephone_number": "631-278-3782",
"authorized_official_credential": "MSN, APRN, PMHNP-BC"
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Surprise, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.