Valley Addiction & Mental Health Services LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

VALLEY ADDICTION & MENTAL HEALTH SERVICES LLC

Practice address

16845 N. 29TH Ave
Ste 1-211
Phoenix, AZ 85053

Phone

(602) 456-1008

Fax

(602) 993-2323

NPI assigned

Dec 18, 2018

Organization subpart

No

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

Authorized official

Name

Glenn P. Townsend, NP

Title

Owner/Ceo

Phone

(602) 456-1008

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1545091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545091200000",
    "number": "1871065615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16845 N. 29TH AVE",
            "address_2": "STE 1-211",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85053",
            "telephone_number": "602-456-1008",
            "fax_number": "602-993-2323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16845 N. 29TH AVE",
            "address_2": "STE 1-211",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85053",
            "telephone_number": "602-456-1008",
            "fax_number": "602-993-2323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY ADDICTION & MENTAL HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-18",
        "last_updated": "2018-12-18",
        "status": "A",
        "authorized_official_last_name": "TOWNSEND",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "602-456-1008",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "537951",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brenda Vallejo
• Harmony Lynn Vallelonga, LPC
• Kristen Vallely, LAMFT
• Dana L Valletta, PNP
• Stephen Valletta, C.C.P
• Valley Allergy PLLC
• Valley Anesthesiology Consultants, Inc.
• Valley Assisted Living
• Valley Associates PRS PLLC
• Valley Boutique Care, PLLC.

• Psychiatric/Mental Health Nurse Practitioner in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Psychiatric/Mental Health Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2018; 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.