NPIMap

Organization Active NPI

Valley Behavioral Medicine, PC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Goshen, NY
National Provider Identifier
1881602852
Registry record updated Feb 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
VALLEY BEHAVIORAL MEDICINE, PC
Practice address
3 Hatfield Lane
Suite 1
Goshen, NY 10924-6732
Phone
(845) 291-7480
Fax
(845) 294-3785
NPI assigned
Aug 4, 2006
Last updated
Feb 9, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2011

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

Authorized official

Name
John V Abbott, MD
Title
Medical Director
Phone
(845) 291-7480

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

3 Hatfield Lane
Suite 1
Goshen, NY 10924-6732

Mailing address

3 Hatfield Lane
Suite 1
Goshen, NY 10924-6732
Phone (845) 291-7480

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297209600000",
    "number": "1881602852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 HATFIELD LANE",
            "address_2": "SUITE 1",
            "city": "GOSHEN",
            "state": "NY",
            "postal_code": "109246732",
            "telephone_number": "845-291-7480",
            "fax_number": "845-294-3785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 HATFIELD LANE",
            "address_2": "SUITE 1",
            "city": "GOSHEN",
            "state": "NY",
            "postal_code": "109246732",
            "telephone_number": "845-291-7480",
            "fax_number": "845-294-3785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY BEHAVIORAL MEDICINE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2011-02-09",
        "status": "A",
        "authorized_official_last_name": "ABBOTT",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "845-291-7480",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goshen, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2011; 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.