NPIMap

Organization Active NPI

Buffalo Run Psychological Services, PLLC

  • Adult Mental Health Clinic/Center
  • North Salt Lake, UT
National Provider Identifier
1013615848
Registry record updated Feb 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
BUFFALO RUN PSYCHOLOGICAL SERVICES, PLLC
Practice address
987 Chatham Dr
North Salt Lake, UT 84054-6121
Phone
(404) 247-7558
NPI assigned
Feb 21, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2023

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

Authorized official

Name
Dr. Hannah Muetzelfeld, PHDNPI 1609609445
Title
Managing Officer
Phone
(404) 247-7558

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

987 Chatham Dr
North Salt Lake, UT 84054-6121

Mailing address

987 Chatham Dr
North Salt Lake, UT 84054-6121
Phone (404) 247-7558

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1676937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676937600000",
    "number": "1013615848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "987 CHATHAM DR",
            "city": "NORTH SALT LAKE",
            "state": "UT",
            "postal_code": "840546121",
            "telephone_number": "404-247-7558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "987 CHATHAM DR",
            "city": "NORTH SALT LAKE",
            "state": "UT",
            "postal_code": "840546121",
            "telephone_number": "404-247-7558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUFFALO RUN PSYCHOLOGICAL SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-21",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A",
        "authorized_official_last_name": "MUETZELFELD",
        "authorized_official_first_name": "HANNAH",
        "authorized_official_title_or_position": "MANAGING OFFICER",
        "authorized_official_telephone_number": "404-247-7558",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Salt Lake, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2023; 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.