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SALEM PSYCHIATRIC ASSOCIATES PC NPI 1912121526


NPI Information

NPI: 1912121526
Provider Name: SALEM PSYCHIATRIC ASSOCIATES PC

Doing Business As: VALLEY MENTAL HEALTH

Classification: Social Worker - 1041C0700X
Entity Type: Organization

Specialization: Clinical

Address:
821 SAGINAW ST S
SALEM, OR
ZIP 97302
Phone: (503) 589-4046
Get Directions

SALEM PSYCHIATRIC ASSOCIATES PC is a clinical social worker in Salem, OR. The provider is a social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. SALEM PSYCHIATRIC ASSOCIATES PC NPI is 1912121526. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Valley Mental Health.

The provider's business location address is:

821 SAGINAW ST S
SALEM, OR
ZIP 97302-121
Phone: (503) 589-4046
Fax: (503) 362-9671

The provider's authorized official is Camille Soleil .
The authorized official title is Executive Director and has the following contact phone number (503) 798-9541.

The enumeration date for this NPI number is 4/13/2007 and was last updated on 10/3/2017.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YM0800XCounselorMental HealthNo
2103TC0700XPsychologistClinicalNo
3103TM1800XPsychologistIntellectual and Developmental DisabilitiesNo
4104100000XSocial WorkerNo
51041C0700XSocial WorkerClinicalYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1500400273MEDICAIDOREGON
2015466000OTHEROREGONBLUE CROSS

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: 4/28/2024

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