MICHAEL VALALIK PMHNP BC (NPI# 1104298298) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104298298 |
| Entity Type | Organization |
| Organization Name | MICHAEL VALALIK PMHNP BC |
| Practice Address |
770 Saybrook Rd Bldg B Middletown CT 06457-4739 |
| Practice Telephone | 2036401563 |
| Enumeration Date | 2015-10-28 |
| Last Update Date | 2015-10-28 |
| Authorized Official Name | MICHAEL VALALIK (PSYCHIATRIC NURSE PRACTITIONER) |
| Authorized Official Telephone | 2036401563 |
| Authorized Official Credential | PMHNP-BC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
6276 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| INDIVIDUAL NPI NUMBER | 1669841987 | 01 |
| Street Address |
770 SAYBROOK RD BLDG B |
| City | MIDDLETOWN |
| State | CT |
| Zip Code | 06457-4739 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538120332 | Daphne E Donahue | Social Worker | 770 Saybrook Rd Bldg B, Middletown, CT 06457-4739 | 2006-03-31 |
| 1437708690 | Sherri L. O'shea Lcsw LLC | Social Worker | 770 Saybrook Rd Bldg B, Middletown, CT 06457-4739 | 2019-09-10 |
| 1669841987 | Michael Valalik | Nurse Practitioner | 770 Saybrook Rd Bldg B, Middletown, CT 06457-4739 | 2015-09-16 |
| 1891936365 | Penny B Young | Nurse Practitioner | 770 Saybrook Rd Bldg B, Middletown, CT 06457-4739 | 2009-03-13 |
| 1073537312 | Richard Engelhardt | Social Worker | 770 Saybrook Rd Bldg B, Middletown, CT 06457-4739 | 2006-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699391961 | Meghan Harrington | Behavior Technician | 101 Centerpoint Drive #243, Middletown, CT 06457 | 2020-06-22 |
| 1427619626 | Collaborative Aba Services, LLC | Behavioral Analyst | 515 Centerpoint Drive, Suite 205, Middletown, CT 06457 | 2019-06-27 |
| 1376100339 | Kimberly Tynik | Pharmacist | 451 Fowler Ave, Middletown, CT 06457 | 2019-05-24 |
| 1184101263 | Tabrez Adil | Dentist | 675 Main St., Middletown, CT 06457 | 2018-07-23 |
| 1326535337 | Rehan Khan | Non-emergency Medical Transport (VAN) | 765 Country Club Rd, Middletown, CT 06457 | 2018-04-16 |
| 1366950206 | State of Connecticut | Psychiatric Hospital | 70 O'brien Drive, Middletown, CT 06457 | 2018-01-12 |
| 1902324536 | Cynthia Tine | Physical Therapy Assistant | 628 Congdon Street, Middletown, CT 06457 | 2017-09-04 |
| 1619494390 | Nathan Douglas Roy | Specialist/Technologist | 431 Briarwood Lane, Middletown, CT 06457 | 2017-08-24 |
| 1598286502 | Rachel Hoffman Whelen | Registered Nurse | 420 Saybrook Road, Suite A, Middletown, CT 06457 | 2017-06-29 |
| 1003358326 | Rebecca Rotondo | Social Worker | 230 Main Street Extension, Act Team, Gilead Community Services, Middletown, CT 06457 | 2016-11-17 |
| Find all providers in zip 06457 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568096790 | Northpoint Psychiatric Consultants LLC | Nurse Practitioner | 363 Main St Ste 412, Middletown, CT 06457-3359 | 2020-02-26 |
| 1083146112 | Ildiko Maria Sherman | Nurse Practitioner | 307 Stanley St, Middletown, OH 45044-4859 | 2017-03-29 |
| 1437534401 | Gagne Behavioral Health Inc | Nurse Practitioner | 1717 Country Club Rd, Middletown, CT 06457-2363 | 2015-07-20 |
| 1609284827 | Debra Mayers | Nurse Practitioner | 31 Connors Rd, Middletown, NY 10941-1830 | 2014-07-31 |
| 1649410820 | Christopher Mcgirr | Nurse Practitioner | 120 Rising Trail Dr, Middletown, CT 06457-1671 | 2009-02-27 |
| 1902998263 | Sandra J. Rabis | Nurse Practitioner | 79 Mill St, Suite 101, Middletown, CT 06457-4468 | 2006-09-28 |
| 1992771315 | Wendy Levin Peterson | Nurse Practitioner | 267 William St, Middletown, CT 06457 | 2006-02-25 |
| 1720628910 | Kingsley Azeez Ayoola | Nurse Practitioner | 11 Little Cir, Middletown, DE 19709 | 2020-01-15 |
| 1124674148 | Mary Beatrice O'hara | Nurse Practitioner | 675 Main St, Middletown, CT 06457 | 2019-08-15 |
| 1265086102 | Emily Juliana Friedman | Nurse Practitioner | 1250 Silver St, Middletown, CT 06457-3946 | 2019-07-29 |
| Find all providers in MIDDLETOWN | ||||
| City | MIDDLETOWN |
| Zip Code | 06457 |
Please comment or provide details below to improve the information on MICHAEL VALALIK PMHNP BC.
| 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.