NPIMap

Organization Active NPI

Wasatch Mental Health

  • Case Management Agency
  • Provo, UT
National Provider Identifier
1023369493
Registry record updated Sep 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
WASATCH MENTAL HEALTH
Practice address
299 E 900 S
Provo, UT 84606-6107
Phone
(801) 852-3779
Fax
(801) 374-7304
NPI assigned
Sep 26, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2012

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

Authorized official

Name
Mr. Brian Butler, LCSW
Title
Program Manager, Community Serives
Phone
(801) 373-7394

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

299 E 900 S
Provo, UT 84606-6107

Mailing address

299 E 900 S
Provo, UT 84606-6107
Phone (801) 852-3779

Other names 1

  • WATCH Other name

National Provider Directory

National Provider Directory

Locations

299 E 900 S
Provo, UT 84606
Phone (801) 852-3779

Practitioners & affiliated clinicians

Practitioners 4

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": "1348617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348876800000",
    "number": "1023369493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "299 E 900 S",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846066107",
            "telephone_number": "801-852-3779",
            "fax_number": "801-374-7304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "299 E 900 S",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846066107",
            "telephone_number": "801-852-3779",
            "fax_number": "801-374-7304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASATCH MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-26",
        "last_updated": "2012-09-29",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "PROGRAM MANAGER, COMMUNITY SERIVES",
        "authorized_official_telephone_number": "801-373-7394",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WATCH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Provo, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2012; 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.