Nutcracker

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

1460511205 Issued in UT

Legal business name

NUTCRACKER

Practice address

251 West Hwy 198
Salem, UT 84653-0786

Phone

(801) 423-3267

Fax

(801) 423-3276

NPI assigned

Jul 27, 2006

Last updated

Aug 22, 2020By 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

Phil Washburn, MD

Title

Clinical Adviser

Phone

(801) 423-3267

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093729048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 786",
            "city": "SALEM",
            "state": "UT",
            "postal_code": "846530786",
            "telephone_number": "801-423-3267",
            "fax_number": "801-423-3276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 WEST HWY 198",
            "city": "SALEM",
            "state": "UT",
            "postal_code": "846530786",
            "telephone_number": "801-423-3267",
            "fax_number": "801-423-3276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTCRACKER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WASHBURN",
        "authorized_official_first_name": "PHIL",
        "authorized_official_title_or_position": "CLINICAL ADVISER",
        "authorized_official_telephone_number": "801-423-3267",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "UT",
            "license": "1460511205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Miller
• Alex S Moore, PT
• Jonathan D Nelson, PA-C
• Con Kaleb Newman, FNP-C
• Jean Nielson, MSW, CSW
• Melanie Pace, RDH
• Jessica Ann Paletta, LCSW
• Jake Lane Palmer
• Chad Allen Parrish, PA
• Madeleine Passmore

• Psychiatry Physician in Salem, UT
• Providers in Salem, UT by specialty
• Psychiatry Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.