VALLEY MENTAL HEALTH INCORPORATED (NPI# 1316009228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316009228 |
| Entity Type | Organization |
| Organization Name | VALLEY MENTAL HEALTH INCORPORATED |
| Other Organization Name | VMH - PHEASANT HOLLOW |
| Practice Address |
4125 S 900 E Salt Lake City UT 84124-1112 |
| Mailing Address |
5965 S 900 E Suite 420 Salt Lake City UT 84121-1720 |
| Practice Telephone | 8017436111 |
| Mailing Telephone | 8012637100 |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2011-08-25 |
| Authorized Official Name | MS. DEBRA 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 |
|---|---|---|---|---|---|
| Y | 320700000X | Residential Treatment Facility, Physical Disabilities | 12009 | UT | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| VMH - PHEASANT HOLLOW | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1295792117 | Valley Mental Health Incorporated | Social Worker | 4460 Highland Dr, Suite 300, Salt Lake City, UT 84124-3543 | 2006-04-26 |
| Street Address |
4125 S 900 E |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84124-1112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770079089 | Tamera Lyn Derushia | Community Health Worker | 4125 S 900 E, Salt Lake City, UT 84124-1112 | 2018-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487273298 | Shannon Penny Price | Social Worker | 4465 Maybeck Place, Condo C, Millcreek, UT 84124 | 2020-04-11 |
| 1922654367 | Joseph C Melvin Md PC | Colon & Rectal Surgery | 1250 East 3900 South Ste 320, Salt Lake City, UT 84124 | 2019-08-12 |
| 1366923252 | Melanie Stumpf | Counselor | 1141 E 3900, Suite A170, Salt Lake City, UT 84124 | 2018-08-28 |
| 1376033993 | Michelle Flowers | Speech-Language Pathologist | 2120 East 3900 South, Ste 200, Holladay, UT 84124 | 2018-05-18 |
| 1740797257 | Lissa Anne Hutchings | Nurse Practitioner | 1160 E 3900 S Ste 4100, Salt Lake City, UT 84124 | 2018-01-05 |
| 1316465693 | Randy Gines | Counselor | 4460 S Highland Drive # 230, Murray, UT 84124 | 2017-09-06 |
| 1417470717 | Joshua Chandler Spencer | Counselor | 4460 South Highland Dr., 230, Murray, UT 84124 | 2017-07-19 |
| 1659891554 | Marcus Whitney | Counselor | 4460 S Highland Dr. # 230, Murray, UT 84124 | 2017-06-21 |
| 1518496884 | Courtney Nilson | Counselor | 4460 S. Highland Dr. #230, Murray, UT 84124 | 2017-06-08 |
| 1841687126 | Intrafilrx | Preferred Provider Organization | 3920 S 1100 E Ste 210, Salt Lake City, UT 84124 | 2015-04-23 |
| Find all providers in zip 84124 | ||||
| Taxonomy Code | 320700000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Physical Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164635827 | Chateau Brickyard, Inc. | Residential Treatment Facility, Physical Disabilities | 3080 S 1300 E, Salt Lake City, UT 84106-3000 | 2007-05-08 |
| 1013070028 | Cerebral Palsy of Utah | Residential Treatment Facility, Physical Disabilities | 3550 S 700 W, Salt Lake City, UT 84119-4120 | 2006-12-19 |
| 1053472340 | Valley Mental Health Incorporated | Residential Treatment Facility, Physical Disabilities | 1228 S 900 E, Salt Lake City, UT 84105-1326 | 2006-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386034957 | Tarrince LLC | Residential Treatment Facility, Physical Disabilities | 10704 S Trailridge Cir, Sandy, UT 84092-4758 | 2015-02-03 |
| City | SALT LAKE CITY |
| Zip Code | 84124 |
Please comment or provide details below to improve the information on VALLEY MENTAL HEALTH INCORPORATED.
| 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.