MEDICARE: VALLEY PSYCH ASSOCIATES, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1972373215
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VALLEY PSYCH ASSOCIATES, LLC

Provider Business Mailing Address
First Line	:	160 MAIN ST STE 14
Second Line	:
City	:	NORTHAMPTON
State	:	MA
Zip	:	01060-3187
Country	:	US
Telephone Number	:	413-203-4134
Fax Number	:	800-580-4703

Provider Business Practice Location Address
First Line	:	160 MAIN ST STE 14
Second Line	:
City	:	NORTHAMPTON
State	:	MA
Zip	:	01060-3187
Country	:	US
Telephone Number	:	413-203-4134
Fax Number	:	800-580-4703

Authorized Official
Title or Position	:	NURSE PRACTITIONER
Name	:	KATHERINE S JOHNSON
Credential	:	AGNP, PMHNP
Telephone Number	:	413-588-2077

Provider Enumeration Date	:	01/08/2024
Last Update Date	:	05/29/2026

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