Organization Active NPI

Valley Psychiatric Services, LLC

  • Adult Mental Health Clinic/Center
  • Surprise, AZ
National Provider Identifier
1396369310
Registry record updated Jul 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
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

Updated by the provider on Jul 20, 2020

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.