Sound Minds LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

SOUND MINDS LLC

Practice address

1370 S West Temple
Salt Lake City, UT 84115-5218

Phone

(801) 893-8417

NPI assigned

Sep 28, 2022

Organization subpart

No

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

Authorized official

Name

Brooke Danielle Fandrich, PMHNP-BC

Title

Psych Nures Practitioner

Phone

(307) 212-1042

Specialties & licenses 1

Addresses

Other names 1

• Brooke Fandrich Doing business as

Locations

Practitioners 1

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

• Christopher Tad Clark, M.ED.

  • Professional Counselor
  • Rock Springs, WY
  • NPI 1992053474
  NPD (past)

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

{
    "created_epoch": "1664323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717027200000",
    "number": "1093439655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1471 DEWAR DR STE 127",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "829015815",
            "telephone_number": "307-630-3466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1370 S WEST TEMPLE",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841155218",
            "telephone_number": "801-893-8417"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1471 Dewar Dr Ste 127",
            "address_purpose": "LOCATION",
            "city": "Rock Springs",
            "state": "WY",
            "postal_code": "829015815",
            "country_code": "US",
            "telephone_number": "307-630-3466",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOUND MINDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-28",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A",
        "authorized_official_last_name": "FANDRICH",
        "authorized_official_first_name": "BROOKE",
        "authorized_official_middle_name": "DANIELLE",
        "authorized_official_title_or_position": "PSYCH NURES PRACTITIONER",
        "authorized_official_telephone_number": "307-212-1042",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brooke Fandrich",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Brooke Fandrich",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Salt Lake City, UT
• Psychiatric/Mental Health Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; 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.