Ampelis Health Highland
Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Highland, UT
NPI 1003588369 · NPPES record last updated Dec 19, 2024
Key facts
- NPI
- 1003588369
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
- Legal business name
- AMPELIS HEALTH HIGHLAND
- Practice address
- 10290 N North County Blvd Ste 102
Highland, UT 84003-8973 - Phone
- (435) 776-5909
- NPI assigned
- Oct 4, 2021
- Organization subpart
- No
Authorized official
- Name
- Justin Weeks
- Title
- Partner
- Phone
- (801) 391-6660
Practitioners 3
-
Marysa Chieko Anderson-Cardwell, MS, RDN, LD
-
Shane Emeron Carter, PMHNP, APRN
-
Hannah Farnworth, LMFT
National Provider Directory
Locations
10290 N North County Blvd
Ste 102
Highland, UT 84003
Phone (435) 776-5909
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician |
2084P0800X | |||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Yes |
Addresses
Primary practice location
10290 N North County Blvd Ste 102
Highland, UT 84003-8973
Mailing address
10290 N North County Blvd Ste 102
Highland, UT 84003-8973
Phone (435) 776-5909
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | ampelishealth.com |
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All providers in Highland, UT · Mental Health Clinic/Center (Including Community Mental Health Center) in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 19, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.