# VALLEY MENTAL HEALTH INCORPORATED

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** VMH - MASTERS PROGRAM
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366408874
- **Authorized official:** MS. DEBRA FALVO MHCA/RN (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (801) 263-7100

## Contact information

- **Practice address:** 4460 HIGHLAND DR, SUITE 100, SALT LAKE CITY, UT 84124-3543
- **Practice address phone:** (801) 273-1085
- **Practice address fax:** (801) 273-4097
- **Mailing address:** 5965 S 900 E, SUITE 420, SALT LAKE CITY, UT 84121-1720
- **Mailing address phone:** (801) 263-7100
- **Mailing address fax:** (801) 263-7123

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TC0700X | Clinical Psychologist | — | UT | — |
| 1041C0700X | Clinical Social Worker | — | UT | — |
| 163WP0809X | Adult Psychiatric/Mental Health Registered Nurse | — | UT | — |
| 2084P0805X | Geriatric Psychiatry Physician | — | UT | Yes |
| 363LG0600X | Gerontology Nurse Practitioner | — | UT | — |

## Other

- **Enumeration date:** 04/24/2006
- **Last updated:** 08/25/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2423 | PEHP | UT |