VALLEY MENTAL HEALTH INCORPORATED (NPI# 1205892080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205892080 |
| Entity Type | Organization |
| Organization Name | VALLEY MENTAL HEALTH INCORPORATED |
| Other Organization Name | SRS PROGRAM |
| Practice Address |
2472 S 300 E Salt Lake City UT 84115-2895 |
| Mailing Address |
5965 S 900 E Suite 420 Salt Lake City UT 84121-1720 |
| Practice Telephone | 8014157591 |
| Practice Fax Number | 8014157533 |
| Mailing Telephone | 8012637100 |
| Mailing Fax Number | 8012637123 |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2011-08-25 |
| Authorized Official Name | MS. DEBRA LYNN S FALVO (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8012637100 |
| Authorized Official Credential | MHCA/RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
UT | Behavioral Health & Social Service Providers | |
| N | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
UT | Nursing Service Providers | |
| N | 164W00000X | Licensed Practical Nurse | UT | Nursing Service Providers | |
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
UT | Physician Assistants & Advanced Practice Nursing Providers | |
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
UT | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| SRS PROGRAM | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316009228 | Valley Mental Health Incorporated | Residential Treatment Facility, Physical Disabilities | 4125 S 900 E, Salt Lake City, UT 84124-1112 | 2006-12-15 |
| 1053472340 | Valley Mental Health Incorporated | Residential Treatment Facility, Physical Disabilities | 1228 S 900 E, Salt Lake City, UT 84105-1326 | 2006-12-12 |
| 1427015296 | Valley Mental Health Incorporated | Counselor | 180 West 7309 South, Midvale, UT 84047 | 2006-04-27 |
| 1891359857 | Valley Mental Health Incorporated | Behavioral Analyst | 4460 S Highland Dr, Salt Lake City, UT 84124-3543 | 2019-04-25 |
| 1841486016 | Valley Mental Health Incorporated | Counselor | 1724 S Main St, Salt Lake City, UT 84115-1912 | 2007-09-20 |
| 1922294198 | Valley Mental Health Incorporated | Psychologist | 1141 E 3900 S, Suite A200, Salt Lake City, UT 84124-1215 | 2007-09-20 |
| 1649466814 | Valley Mental Health Incorporated | Counselor | 1020 S Main St, Suite 320, Salt Lake City, UT 84101-3176 | 2007-09-20 |
| 1720045669 | Valley Mental Health Incorporated | Counselor | 443 S 600 E, Salt Lake City, UT 84102-2708 | 2006-04-26 |
| 1124085170 | Valley Mental Health Incorporated | Counselor | 1141 E 3900 S, Suite A170, Salt Lake City, UT 84124-1215 | 2006-04-26 |
| 1932166980 | Valley Mental Health Incorporated | Social Worker | 4460 S Highland Dr, #230, Salt Lake City, UT 84124-3543 | 2006-04-26 |
| Street Address |
2472 S 300 E |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84115-2895 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700870896 | Avalon Valley Care Center LLC | Skilled Nursing Facility | 2472 S 300 E, Salt Lake City, UT 84115-2895 | 2005-09-06 |
| 1780157529 | Gunnison Valley Hospital | Skilled Nursing Facility | 2472 S 300 E, Salt Lake City, UT 84115-2895 | 2019-01-04 |
| 1275035206 | Gina Lee Snow | Speech-Language Pathologist | 2472 S 300 E, Salt Lake City, UT 84115-2895 | 2018-03-06 |
| 1154823037 | Robyn Michelle Moore | Physical Therapy Assistant | 2472 S 300 E, Salt Lake City, UT 84115-2895 | 2018-03-06 |
| 1376044685 | Skyler Gaillard | Physical Therapy Assistant | 2472 S 300 E, Salt Lake City, UT 84115-2895 | 2018-02-22 |
| 1952802266 | Shawnee Burnett | Occupational Therapist | 2472 S 300 E, Salt Lake City, UT 84115-2895 | 2018-02-22 |
| 1487155891 | Christopher Bricker | Occupational Therapy Assistant | 2472 S 300 E, Salt Lake City, UT 84115-2895 | 2018-02-22 |
| 1508367814 | Annette Bergesen | Occupational Therapy Assistant | 2472 S 300 E, Salt Lake City, UT 84115-2895 | 2018-02-22 |
| 1417361007 | Rachel Yarman | Physical Therapist | 2472 S 300 E, Salt Lake City, UT 84115-2895 | 2014-06-11 |
| 1912983446 | Jamal Ahmed Barakat | Counselor | 2472 S 300 E, Salt Lake City, UT 84115-2895 | 2005-12-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396344198 | Shannon Ballinger | Clinic/Center | 1470 400 W, Salt Lake City, UT 84115 | 2020-10-22 |
| 1992346704 | Anicka Inc | Clinic/Center | 3195 South Main St, Ste 260, South Salt Lake, UT 84115 | 2019-10-02 |
| 1083177505 | Vitor Gabriel Giuliani Alcantara Carioca | Specialist/Technologist | 1850 South Campus Drive, Salt Lake City, UT 84115 | 2019-04-11 |
| 1427528371 | Samuel James Leonhart | Behavior Technician | 354 East Coatsville Drive, Salt Lake City, UT 84115 | 2018-12-04 |
| 1093228645 | Eco Pharmacy LLC | Pharmacy | 3702 S State Street Suite 115, South Salt Lake City, UT 84115 | 2017-11-06 |
| 1568973055 | Eco Apothecary LLC | Pharmacy | 3701 S State Street Suite 114, South Salt Lake City, UT 84115 | 2017-10-24 |
| 1548780455 | Kelly Lund | Case Manager/Care Coordinator | 447 W. Bearcat Dr., Salt Lake City, UT 84115 | 2017-06-21 |
| 1104271238 | The Church of Philadelphia Inc. | Community/Behavioral Health | 2358 South Main Street, Salt Lake City, UT 84115 | 2016-04-26 |
| 1710368626 | Jennifer Swanhild Edwards | Counselor | 140 W 2100 S Ste 244, Salt Lake City, UT 84115 | 2015-06-16 |
| 1508247065 | John Mcguire | Health Educator | 1370 S. West Temple, Salt Lake City, UT 84115 | 2015-06-10 |
| Find all providers in zip 84115 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| 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. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811549637 | Nume Tms Utah, Pllc | Psychiatry & Neurology | 560 S 300 E Ste 115, Salt Lake City, UT 84111-3562 | 2019-07-11 |
| 1497288351 | Tyler Durns | Psychiatry & Neurology | 50 N Medical Dr Salt Lake City, Salt Lake City, UT 84132-0001 | 2017-04-07 |
| 1457705279 | Heather Wark | Psychiatry & Neurology | 3313 E Coronet Dr, Salt Lake City, UT 84124-3102 | 2016-04-18 |
| 1114311255 | Shane Verhoef | Psychiatry & Neurology | 500 Foothill Dr Bldg 16, Salt Lake City, UT 84148-1023 | 2015-03-26 |
| 1376947051 | University of Utah Behavioral Health Services | Psychiatry & Neurology | 30 N 1900 E Ste 1b620, Salt Lake City, UT 84132-0002 | 2014-10-09 |
| 1700120334 | R. Duncan Wallace, M.d., P.C. | Psychiatry & Neurology | 2972 S Devonshire Cir, Salt Lake City, UT 84108-2526 | 2012-11-20 |
| 1336407790 | Anthony Michael Petersen | Psychiatry & Neurology | University of Utah Psychiatry Department, 50 North Medical Drive, Salt Lake City, UT 84132-0001 | 2012-04-24 |
| 1982971826 | Robert Allan Weitzel | Psychiatry & Neurology | 78 U St, Salt Lake City, UT 84103-4304 | 2011-11-21 |
| 1427349042 | Kristen Leigh Pagel | Psychiatry & Neurology | 30 N 1900 E Rm 1c412, Gme Office, Salt Lake City, UT 84132-0002 | 2011-04-30 |
| 1952690919 | Brent Michael Kious | Psychiatry & Neurology | University Hospital 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2011-03-30 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84115 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.