VALLEY MENTAL HEALTH INCORPORATED NPI 1417913930

NPI Information

NPI: 1417913930
Provider Name: VALLEY MENTAL HEALTH INCORPORATED

Other Name: CLOZARIL CLINIC

Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
1141 E 3900 S
SUITE A250
SALT LAKE CITY, UT
ZIP 84124
Phone: (801) 284-4900
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VALLEY MENTAL HEALTH INCORPORATED is a psychiatric/mental health nurse practitioner in Salt Lake City, UT. VALLEY MENTAL HEALTH INCORPORATED NPI is 1417913930. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Clozaril Clinic.

The provider's business location address is:

1141 E 3900 S
SUITE A250
SALT LAKE CITY, UT
ZIP 84124-215
Phone: (801) 284-4900
Fax: (801) 284-4901

The provider's authorized official is Debra Falvo .
The authorized official title is Executive Director and has the following contact phone number (801) 263-7100.

The enumeration date for this NPI number is 4/24/2006 and was last updated on 8/25/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License State	Primary
1	104100000X	Social Worker		UTAH	No
2	1041C0700X	Social Worker	Clinical	UTAH	No
3	2084P0800X	Psychiatry & Neurology	Psychiatry	UTAH	No
4	163WP0809X	Registered Nurse	Psychiatric/Mental Health, Adult	UTAH	No
5	101YM0800X	Counselor	Mental Health	UTAH	No
6	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	UTAH	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	=========014	MEDICAID	UTAH
2	=========00001	OTHER	UTAH	BLUE CROSS OF UTAH
3	000057390	MEDICARE ID-TYPE UNSPECIFIED	UTAH	MEDICARE GROUP NUMBER
4	2423	OTHER	UTAH	PEHP
5	=========031	MEDICAID	UTAH	A&D MEDICAID CONTRACT
6	=========014	MEDICAID	UTAH	CAPITATED MEDICAID
7	000057390	MEDICARE PIN	UTAH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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