Wasatch Mental Health

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

WASATCH MENTAL HEALTH

Practice address

750 N Freedom Blvd
Provo, UT 84601-1677

Phone

(801) 373-4760

NPI assigned

Oct 10, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kyle Bringhurst

Title

Management Director

Phone

(801) 310-4903

Specialties & licenses 1

Addresses

Tax ID family

Wasatch Mental Health2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Wasatch Mental Health

  • Social Worker
  • Provo, UT
  • NPI 1871928267
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1381363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381363200000",
    "number": "1003243940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "760 N 800 E",
            "address_2": "#102",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846066915",
            "telephone_number": "801-694-9228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 N FREEDOM BLVD",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846011677",
            "telephone_number": "801-373-4760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASATCH MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-10",
        "last_updated": "2013-10-10",
        "status": "A",
        "authorized_official_last_name": "BRINGHURST",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "MANAGEMENT DIRECTOR",
        "authorized_official_telephone_number": "801-310-4903"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashlyn M Warren
• Brittany Ann Warren
• Jared Scott Warren, PH.D.
• Wasatch Back Venture Trail
• Wasatch Behavioral Health Special Service District
• Wasatch Mental Health
• Wasatch Mental Health
• Wasatch Mental Health
• Nicole Wassom
• Alyssa Watkins

• Adolescent and Children Mental Health Clinic/Center in Provo, UT
• Providers in Provo, UT by specialty
• Adolescent and Children Mental Health Clinic/Center in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.