VALLEY MENTAL HEALTH INCORPORATED NPI 1205892080

NPI Information

  • NPI: 1205892080
  • Provider Name: VALLEY MENTAL HEALTH INCORPORATED
  • Classification: Psychiatry & Neurology - 2084P0800X
  • Specialization: Psychiatry
  • Entity Type: Organization
  • Other Name: SRS PROGRAM
  • Address: 2472 S 300 E
    SALT LAKE CITY, UT
    ZIP 84115
  • Phone: (801) 415-7591

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NPI Details

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 1205892080. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Srs Program.

The provider's business location address is:

2472 S 300 E
SALT LAKE CITY, UT
ZIP 84115-895
Phone: (801) 415-7591
Fax: (801) 415-7533

The provider's authorized official is Debra Lynn S 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 4/21/2006 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 Number License State Primary
11041C0700XSocial WorkerClinicalUTAHNo
2163WP0809XRegistered NursePsychiatric/Mental Health, AdultUTAHNo
3164W00000XLicensed Practical NurseUTAHNo
4363LP0808XNurse PractitionerPsychiatric/Mental HealthUTAHNo
52084P0800XPsychiatry & 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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1U000003123MEDICARE PINUTAH
2=========014MEDICAIDUTAHCAPITATED MEDICAID

What is NPI?

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This page was last updated on: 3/30/2025

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