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VALLEY MENTAL HEALTH INCORPORATED NPI 1124085170


NPI Information

NPI: 1124085170
Provider Name: VALLEY MENTAL HEALTH INCORPORATED

Other Name: CHILDREN'S OUTPATIENT SERVICES

Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Organization

Specialization: Psychiatry

Address:
1141 E 3900 S
SUITE A170
SALT LAKE CITY, UT
ZIP 84124
Phone: (801) 284-4990
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VALLEY MENTAL HEALTH INCORPORATED is a psychiatry psychiatry neurology in Salt Lake City, UT. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. VALLEY MENTAL HEALTH INCORPORATED NPI is 1124085170. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Children's Outpatient Services.

The provider's business location address is:

1141 E 3900 S
SUITE A170
SALT LAKE CITY, UT
ZIP 84124-215
Phone: (801) 284-4990
Fax: (801) 284-4991

The provider's authorized official is Debra Falvo .
The authorized official title is Executive Director and has the following contact phone number (801) 253-7100.

The enumeration date for this NPI number is 4/26/2006 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YP2500XCounselorProfessionalUTAHNo
2103TC0700XPsychologistClinicalUTAHNo
3104100000XSocial WorkerUTAHNo
41041C0700XSocial WorkerClinicalUTAHNo
5106H00000XMarriage & Family TherapistUTAHNo
6363LP0808XNurse PractitionerPsychiatric/Mental HealthUTAHNo
7163WP0808XRegistered NursePsychiatric/Mental HealthUTAHNo
82084P0800XPsychiatry & NeurologyPsychiatryUTAHYes

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
1000057635MEDICARE ID-TYPE UNSPECIFIEDUTAHMEDICARE GROUP NUMBER
2=========031MEDICAIDUTAH
3=========014MEDICAIDUTAHCAPITATED MEDICAID
4000057635MEDICARE PINUTAH
5=========031MEDICAIDUTAHA&D MEDICAID CONTRACT
6=========00001OTHERUTAHBLUE CROSS OF UTAH
72423OTHERUTAHPEHP

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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