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VALLEY MENTAL HEALTH INCORPORATED NPI 1366408874


NPI Information

NPI: 1366408874
Provider Name: VALLEY MENTAL HEALTH INCORPORATED

Other Name: VMH - MASTERS PROGRAM

Classification: Psychiatry & Neurology - 2084P0805X
Entity Type: Organization

Specialization: Geriatric Psychiatry

Address:
4460 HIGHLAND DR
SUITE 100
SALT LAKE CITY, UT
ZIP 84124
Phone: (801) 273-1085
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VALLEY MENTAL HEALTH INCORPORATED is a geriatric psychiatry psychiatry neurology in Salt Lake City, UT. The provider is geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients. VALLEY MENTAL HEALTH INCORPORATED NPI is 1366408874. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Vmh - Masters Program.

The provider's business location address is:

4460 HIGHLAND DR
SUITE 100
SALT LAKE CITY, UT
ZIP 84124-543
Phone: (801) 273-1085
Fax: (801) 273-4097

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
1103TC0700XPsychologistClinicalUTAHNo
21041C0700XSocial WorkerClinicalUTAHNo
3363LG0600XNurse PractitionerGerontologyUTAHNo
4163WP0809XRegistered NursePsychiatric/Mental Health, AdultUTAHNo
52084P0805XPsychiatry & NeurologyGeriatric PsychiatryUTAHYes

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=========014MEDICAIDUTAH
22423OTHERUTAHPEHP
3=========00001OTHERUTAHBLUE CROSS OF UTAH
4=========014MEDICAIDUTAHCAPITATED MEDICAID
5U000003121MEDICARE PINUTAH
6464607MEDICARE OSCAR/CERTIFICATIONUTAH

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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