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VALLEY MENTAL HEALTH INCORPORATED NPI 1205892080


NPI Information

NPI: 1205892080
Provider Name: VALLEY MENTAL HEALTH INCORPORATED

Other Name: SRS PROGRAM

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

Specialization: Psychiatry

Address:
2472 S 300 E
SALT LAKE CITY, UT
ZIP 84115
Phone: (801) 415-7591
Get Directions

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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1U000003123MEDICARE PINUTAH
2=========014MEDICAIDUTAHCAPITATED MEDICAID

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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