Dr. Victoria M. Valdesuso, PC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

DR. VICTORIA M. VALDESUSO, PC

Doing business as

Victoria M. Valdesuso, PC

Practice address

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

Phone

(406) 404-5451

NPI assigned

Dec 27, 2018

Last updated

Dec 27, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Victoria M. Valdesuso, PSYD, APRN,PMHNP-BCNPI 1194725499

Title

Psychiatric Aprn

Phone

(406) 404-5451

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Victoria M. Valdesuso, PC Doing business as

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

Locations

Practitioners 1

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.

• Victoria Maria Valdesuso, PSYD, APRN,PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Bozeman, MT
  • NPI 1194725499
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1545868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545868800000",
    "number": "1700358066",
    "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": [],
    "basic": {
        "organization_name": "DR. VICTORIA M. VALDESUSO, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-27",
        "last_updated": "2018-12-27",
        "status": "A",
        "authorized_official_last_name": "VALDESUSO",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PSYCHIATRIC APRN",
        "authorized_official_telephone_number": "406-404-5451",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD, APRN,PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI CORPORATE NUMBER",
            "identifier": "1154550473",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Victoria M. Valdesuso, PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Behavioral Health Agency in Bozeman, MT
• Providers in Bozeman, MT by specialty
• Community/Behavioral Health Agency in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2018; 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.