Wasatch Front Wellness, PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

WASATCH FRONT WELLNESS, PLLC

Practice address

940 N 400 E Ste 3
North Salt Lake, UT 84054-1945

Phone

(385) 244-0055

Fax

(385) 240-2065

NPI assigned

Jul 29, 2020

Organization subpart

No

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

Authorized official

Name

Tara Sharifan, PSYDNPI 1356620264

Title

Psychologist, Founder

Phone

(385) 244-0055

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Tara Sharifan, PSYD

  • Clinical Child & Adolescent Psychologist
  • Bountiful, UT
  • NPI 1356620264
  NPD Authorized official

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

{
    "created_epoch": "1595980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595980800000",
    "number": "1023627759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 N 400 E STE 3",
            "city": "NORTH SALT LAKE",
            "state": "UT",
            "postal_code": "840541945",
            "telephone_number": "385-244-0055",
            "fax_number": "385-240-2065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 N 400 E STE 3",
            "city": "NORTH SALT LAKE",
            "state": "UT",
            "postal_code": "840541945",
            "telephone_number": "385-244-0055",
            "fax_number": "385-240-2065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASATCH FRONT WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-29",
        "last_updated": "2020-07-29",
        "certification_date": "2020-07-29",
        "status": "A",
        "authorized_official_last_name": "SHARIFAN",
        "authorized_official_first_name": "TARA",
        "authorized_official_title_or_position": "PSYCHOLOGIST, FOUNDER",
        "authorized_official_telephone_number": "385-244-0055",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tether Health, LLC
• Carie T Thompson, RPH
• Janae Alexa Toone, BCBA LBA
• Uplift Counseling LLC
• Utah Cognitive Behavioral Therapy Clinic, PLLC
• Curtis Wayne Watson, LCSW MSW
• Stacey Diane Welsher, PHD
• Weyo
• Amy K Wood, ARNP
• Timothy P Young, MD

• Clinical Psychologist in North Salt Lake, UT
• Providers in North Salt Lake, UT by specialty
• Clinical Psychologist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2020; 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.