| Valley Behavioral Health Incorporated | |
|
4460 S Highland Dr #230 Salt Lake City UT 84124-3543 | |
| (801) 263-7138 | |
| (801) 263-7203 |
| Full Name | Valley Behavioral Health Incorporated |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 4460 S Highland Dr, Salt Lake City, Utah |
| Authorized Official Name and Position | Jared Sanford (PRESIDENT AND CEO) |
| Authorized Official Contact | 8889494864 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Valley Behavioral Health Incorporated Po Box 572070 Murray UT 84157-2070 Ph: (801) 263-7138 | Valley Behavioral Health Incorporated 4460 S Highland Dr #230 Salt Lake City UT 84124-3543 Ph: (801) 263-7138 |
| NPI Number | 1932166980 |
|---|---|
| Provider Enumeration Date | 04/26/2006 |
| Last Update Date | 10/11/2022 |
| Certification Date | 10/11/2022 |
| Medicare PECOS PAC ID | 0042121196 |
|---|---|
| Medicare Enrollment ID | O20190626002145 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932166980 | NPI | - | NPPES |
| CR0324 | Other | UT | RAILROAD MEDICARE |
| 2423 | Other | UT | PEHP |
| Provider Name | Brenda Dee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609201151 PECOS PAC ID: 4789905274 Enrollment ID: I20150609002422 |
| Provider Name | Cynthia M Nixon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477820454 PECOS PAC ID: 9931468709 Enrollment ID: I20180124001803 |
| Provider Name | Travis Worwood |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053898247 PECOS PAC ID: 0143574202 Enrollment ID: I20181108002461 |
| Provider Name | Amy M Byron-sadiki |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326466871 PECOS PAC ID: 2668714221 Enrollment ID: I20190430002912 |
| Provider Name | Benjamin Todd Thatcher |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1841310950 PECOS PAC ID: 8820161847 Enrollment ID: I20190626002264 |
| Provider Name | Dara Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558921429 PECOS PAC ID: 6608202205 Enrollment ID: I20200129003065 |
| Provider Name | Stephanie Marie Valeri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720574718 PECOS PAC ID: 8123358124 Enrollment ID: I20201201002433 |
| Provider Name | Victoria Jacobs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730217167 PECOS PAC ID: 3971607243 Enrollment ID: I20210217001671 |
| Provider Name | Brett Pearce |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255620407 PECOS PAC ID: 1254555071 Enrollment ID: I20210602003083 |
| Provider Name | Elizabeth Albertsen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1871575472 PECOS PAC ID: 2264470996 Enrollment ID: I20210617002284 |
| Provider Name | Cary Shelton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255494555 PECOS PAC ID: 6305120593 Enrollment ID: I20220505000127 |
| Provider Name | Jeanne B Racer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245986264 PECOS PAC ID: 7810376670 Enrollment ID: I20220624000913 |
| Provider Name | Lisa Stevens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619519469 PECOS PAC ID: 8224463559 Enrollment ID: I20220707002882 |
| Provider Name | Janae Moss |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1750723961 PECOS PAC ID: 4082064167 Enrollment ID: I20240102002974 |
| Provider Name | Leisa Watkins |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1932636925 PECOS PAC ID: 4284084385 Enrollment ID: I20240102003676 |
| Provider Name | Kalin Amende |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225768203 PECOS PAC ID: 6800248451 Enrollment ID: I20240118003343 |
| Provider Name | Holley Reilly Blitz |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1255437950 PECOS PAC ID: 0941652374 Enrollment ID: I20240122000775 |
| Provider Name | Tracy Lynn Roe |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1104059054 PECOS PAC ID: 4789037847 Enrollment ID: I20240125001837 |
| Provider Name | Tristan Donovan Enright |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194350843 PECOS PAC ID: 9931552205 Enrollment ID: I20240202001210 |
| Provider Name | Charles Francis Nielsen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831617760 PECOS PAC ID: 6103261011 Enrollment ID: I20240301002011 |
| Provider Name | Beth Holt |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1730416454 PECOS PAC ID: 9335591403 Enrollment ID: I20240311002943 |
| Provider Name | Edward Allen Seiler |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740627637 PECOS PAC ID: 6204289911 Enrollment ID: I20240509000907 |
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