NPIMap

Organization Active NPI

Utah Neurotherapy Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Clearfield, UT
National Provider Identifier
1033410048
Registry record updated Dec 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
6783831-3501 Issued in UT
Legal business name
UTAH NEUROTHERAPY CENTER
Practice address
129 S State St Ste 250
Clearfield, UT 84015-1116
Phone
(801) 855-7999
Fax
(801) 855-7999
NPI assigned
Nov 7, 2010
Last updated
Dec 27, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2018

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

Authorized official

Name
Jeffrey Charles Bright, LCSWNPI 1275869745
Title
Partner
Phone
(801) 529-8279

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 6783831-3501 UT Primary

Addresses

Primary practice location

129 S State St Ste 250
Clearfield, UT 84015-1116

Mailing address

129 S State St Ste 250
Clearfield, UT 84015-1116
Phone (801) 529-8279

National Provider Directory

National Provider Directory

Locations

129 S State St
Ste 250
Clearfield, UT 84015
Phone (801) 855-7999

4043 Riverdale Rd
Ste 1046
Ogden, UT 84405

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1289088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545868800000",
    "number": "1033410048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 S STATE ST STE 250",
            "city": "CLEARFIELD",
            "state": "UT",
            "postal_code": "840151116",
            "telephone_number": "801-529-8279",
            "fax_number": "801-820-8655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 S STATE ST STE 250",
            "city": "CLEARFIELD",
            "state": "UT",
            "postal_code": "840151116",
            "telephone_number": "801-855-7999",
            "fax_number": "801-855-7999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UTAH NEUROTHERAPY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-07",
        "last_updated": "2018-12-27",
        "status": "A",
        "authorized_official_last_name": "BRIGHT",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "801-529-8279",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "UT",
            "license": "6783831-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearfield, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2018; 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.