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VALLEY MENTAL HEALTH INCORPORATED NPI 1295791721


NPI Information

NPI: 1295791721
Provider Name: VALLEY MENTAL HEALTH INCORPORATED

Other Name: SUMMIT COUNTY PROGRAM

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

Specialization: Psychiatry

Address:
1753 SIDEWINDER DR
SUITE S200
PARK CITY, UT
ZIP 84060
Phone: (435) 649-9079
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VALLEY MENTAL HEALTH INCORPORATED is a psychiatry psychiatry neurology in Park 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 1295791721. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Summit County Program.

The provider's business location address is:

1753 SIDEWINDER DR
SUITE S200
PARK CITY, UT
ZIP 84060-258
Phone: (435) 649-9079
Fax: (435) 649-2157

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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YP2500XCounselorProfessionalUTAHNo
2103TC0700XPsychologistClinicalUTAHNo
31041C0700XSocial WorkerClinicalUTAHNo
4106H00000XMarriage & Family TherapistUTAHNo
5363LP0808XNurse PractitionerPsychiatric/Mental HealthUTAHNo
6163WP0808XRegistered NursePsychiatric/Mental HealthUTAHNo
72084P0800XPsychiatry & 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
1=========928MEDICAIDUTAHA&D MEDICAID CONTRACT
22423OTHERRHODE ISLANDPEHP
3U000003116MEDICARE PINUTAH
4=========014MEDICAIDUTAHCAPITATED MEDICAID
5=========00001OTHERUTAHBLUE CROSS OF UTAH

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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