VALLEY MENTAL HEALTH INCORPORATED NPI 1154387678

NPI Information

NPI: 1154387678
Provider Name: VALLEY MENTAL HEALTH INCORPORATED

Other Name: CBTU/PINGREE SCHOOL

Classification: Psychiatry & Neurology - 2084P0804X
Entity Type: Organization

Specialization: Child & Adolescent Psychiatry

Address:
780 GUARDSMAN WAY
SALT LAKE CITY, UT
ZIP 84108
Phone: (801) 581-0194
Get Directions

VALLEY MENTAL HEALTH INCORPORATED is a child and adolescent psychiatry psychiatry neurology in Salt Lake City, UT. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. VALLEY MENTAL HEALTH INCORPORATED NPI is 1154387678. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Cbtu/pingree School.

The provider's business location address is:

780 GUARDSMAN WAY
SALT LAKE CITY, UT
ZIP 84108-374
Phone: (801) 581-0194

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	101YP2500X	Counselor	Professional	UTAH	No
2	103TC0700X	Psychologist	Clinical	UTAH	No
3	1041C0700X	Social Worker	Clinical	UTAH	No
4	106H00000X	Marriage & Family Therapist		UTAH	No
5	163WP0807X	Registered Nurse	Psychiatric/Mental Health, Child & Adolescent	UTAH	No
6	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	UTAH	No
7	2355S0801X	Specialist/Technologist	Speech-Language Assistant	UTAH	No
8	2084P0804X	Psychiatry & Neurology	Child & Adolescent Psychiatry	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	2423	OTHER	UTAH	PEHP
2	=========031	MEDICAID	UTAH
3	000003105	MEDICARE PIN	UTAH
4	=========031	MEDICAID	UTAH	A&D MEDICAID CONTRACT
5	=========014	MEDICAID	UTAH	CAPITATED MEDICAID
6	=========014	MEDICAID	UTAH
7	=========00001	OTHER	UTAH	BLUE CROSS OF UTAH
8	000003105	MEDICARE ID-TYPE UNSPECIFIED	UTAH	MEDICARE GROUP NUMBER

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

NPI Synchronization or Removal

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