Provider Demographics
NPI:1386852804
Name:VALLEY MENTAL HEALTH ASSOCIATES INC.
Entity Type:Organization
Organization Name:VALLEY MENTAL HEALTH ASSOCIATES INC.
Other - Org Name:VMA INC.
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SHERMAN
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:FEIN
Authorized Official - Suffix:
Authorized Official - Credentials:EDD, PHD
Authorized Official - Phone:413-439-0576
Mailing Address - Street 1:56 MULBERRY ST
Mailing Address - Street 2:SECOND FLOOR
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01105-1410
Mailing Address - Country:US
Mailing Address - Phone:413-439-0576
Mailing Address - Fax:413-439-0602
Practice Address - Street 1:56 MULBERRY ST
Practice Address - Street 2:SECOND FLOOR
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01105-1410
Practice Address - Country:US
Practice Address - Phone:413-439-0576
Practice Address - Fax:413-439-0602
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA103TC0700X101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty