Organization Active NPI

Valleyfit Clinic LLC

Doing business as Valley Behavioral Health

  • Clinic/Center
  • Salt Lake City, UT
National Provider Identifier
1780182683
Registry record updated Oct 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
50600A Issued in UT
Legal business name
VALLEYFIT CLINIC LLC
Doing business as
Valley Behavioral Health
Practice address
4460 S Highland Dr Ste 300
Salt Lake City, UT 84124-3562
Phone
(801) 273-6580
Fax
(801) 263-7203
NPI assigned
Jan 25, 2018
Last updated
Oct 11, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
VALLEY MENTAL HEALTH INCORPORATEDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 11, 2022

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

Authorized official

Name
Jared SanfordNPI 1407150758
Title
President and Ceo
Phone
(888) 949-4864

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 50600A UT Primary

Addresses

Primary practice location

4460 S Highland Dr Ste 300
Salt Lake City, UT 84124-3562

Mailing address

4460 S Highland Dr Ste 300
Salt Lake City, UT 84124-3562
Phone (801) 273-6580

Other names 1

  • VALLEY BEHAVIORAL HEALTH Doing business as

National Provider Directory

National Provider Directory
Part of
Randal D France MD

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1516838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665446400000",
    "number": "1780182683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4460 S HIGHLAND DR STE 300",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841243562",
            "telephone_number": "801-273-6580",
            "fax_number": "801-263-7203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4460 S HIGHLAND DR STE 300",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841243562",
            "telephone_number": "801-273-6580",
            "fax_number": "801-263-7203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEYFIT CLINIC LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VALLEY MENTAL HEALTH INCORPORATED",
        "enumeration_date": "2018-01-25",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A",
        "authorized_official_last_name": "SANFORD",
        "authorized_official_first_name": "JARED",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "888-949-4864"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "UT",
            "license": "50600A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VALLEY BEHAVIORAL HEALTH",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "VALLEY BEHAVIORAL HEALTH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2022; 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.