Valley Mental Health Incorporated
Organization Active NPI Child & Adolescent Psychiatry Physician · Midvale, UT
NPI 1427015296 · NPPES record last updated Aug 25, 2011
Key facts
- NPI
- 1427015296
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Child & Adolescent Psychiatry Physician 2084P0804X
- Legal business name
- VALLEY MENTAL HEALTH INCORPORATED
- Practice address
- 180 West 7309 South
Midvale, UT 84047 - Phone
- (801) 565-6840
- Fax
- (801) 569-9718
- NPI assigned
- Apr 27, 2006
- Organization subpart
- No
Authorized official
- Name
- Ms. Debra Falvo
- Title
- Credentialing Coordinator
- Phone
- (801) 273-6306
Other NPIs on the same Medicare enrollment 20
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor |
101YA0400X | UT | ||
| Professional Counselor |
101YP2500X | UT | ||
| Clinical Psychologist |
103TC0700X | UT | ||
| Social Worker |
104100000X | UT | ||
| Clinical Social Worker |
1041C0700X | UT | ||
| Psychiatric/Mental Health Registered Nurse |
163WP0808X | UT | ||
| Child & Adolescent Psychiatry Physician |
2084P0804X | UT | Yes | |
| Psychiatric/Mental Health Clinical Nurse Specialist |
364SP0808X | UT |
Addresses
Primary practice location
180 West 7309 South
Midvale, UT 84047
Mailing address
5965 S 900 E
Salt Lake City, UT 84121-1720
Phone (801) 263-7100
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2423 | Other | UT | PEHP |
Other names
- ARTEC SOUTH CAMPUS
Other providers in Midvale, UT
- Utah Medical Products Inc
- Utah Partners for Health
- Maria Concepcion Valdizan-Garcia
- Allison Valentine
- Valley Behavioral Health
- Valley Mental Health Incorporated
- Hannah Mary Van Alstine
- Peggy B Van Dam
- Elizabeth Van Dyck
- Morgan Whitney Vance
All providers in Midvale, UT · Child & Adolescent Psychiatry Physician in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 25, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.