Ideal Mindset LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

IDEAL MINDSET LLC

Practice address

Staples Connect Ogden 0703
4043 Riverdale Rd. #1138
Ogden, UT 84405

Phone

(801) 999-1384

Fax

(385) 364-4055

NPI assigned

Mar 23, 2023

Last updated

Apr 28, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Sarah T Porter, DNP, APRN, PMHNP-BCNPI 1770192106

Title

Registered Agent/Member

Phone

(801) 999-1384

Specialties & licenses 3

Addresses

Locations

Practitioners 1

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.

• Sarah Theo Porter, DNP, APRN, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Farmington, UT
  • NPI 1770192106
  NPD Authorized official

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

{
    "created_epoch": "1679529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682640000000",
    "number": "1083317598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "STAPLES CONNECT OGDEN 0703",
            "address_2": "4043 RIVERDALE RD. #1138",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "84405",
            "telephone_number": "801-999-1384",
            "fax_number": "385-364-4055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "STAPLES CONNECT OGDEN 0703",
            "address_2": "4043 RIVERDALE RD. #1138",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "84405",
            "telephone_number": "801-999-1384",
            "fax_number": "385-364-4055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDEAL MINDSET LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-23",
        "last_updated": "2023-04-28",
        "certification_date": "2023-04-28",
        "status": "A",
        "authorized_official_last_name": "PORTER",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "REGISTERED AGENT/MEMBER",
        "authorized_official_telephone_number": "801-999-1384",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, APRN, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2084S0012X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan C Hustad, M.D.
• Anne M Hutchinson, M.D.
• Spencer B Hyde, DO
• Sarah Iannacone, PHARMD
• Timothy Bock Icenogle, MD
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• Psychiatric/Mental Health Nurse Practitioner in Ogden, UT
• Providers in Ogden, UT by specialty
• Psychiatric/Mental Health Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.