Individual provider Active NPI

Tyson James Brinkerhoff, PMHNP-BC

  • Registered Nurse
  • Tooele, UT
National Provider Identifier
1104624774
Registry record updated Mar 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
10826752-3102 Issued in UT
Practice address
1244 N Main St Ste 101
Tooele, UT 84074-9839
Phone
(435) 260-5521
Fax
(435) 359-5221
NPI assigned
Mar 7, 2025
Last updated
Mar 20, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 10826752-4405 UT
Registered Nurse 163W00000X 10826752-3102 UT Primary

Addresses

Primary practice location

1244 N Main St Ste 101
Tooele, UT 84074-9839

Mailing address

1244 N Main St Ste 101
Tooele, UT 84074-9839
Phone (435) 244-3143

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260107001056 UT Practitioner - Nurse Practitioner 5799261087 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1221 S Valley Grove Way
Suite 160
Pleasant Grove, UT 84062-6758

1517 Hazelmere CT
Bakersfield, CA 93311-4934

4100 Truxtun Ave
Suite 304
Bakersfield, CA 93309-0685

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
10826752-3102UTMDRegistered Nurse
10826752-4405UTMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Amdb Medical LLC Registered Nurse CurrentSince Jan 6, 2026 Accepting new patients
Whole Mind, LLC Current Accepting new patients
Whole Mind LLC CurrentSince Oct 11, 2025 Accepting new patients

Locations

1221 S Valley Grove Way
Ste 160
Pleasant Grove, UT 84062
Phone (801) 447-7189

333 W 2230 N
Ste 225
Provo, UT 84604
Phone (385) 223-8862

1244 N Main St
Ste 101
Tooele, UT 84074
Phone (435) 249-0007

323 N Main St
Tooele, UT 84074
Phone (435) 233-7900

323 N Main St
Ste 101
Tooele, UT 84074
Phone (435) 241-4570

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1741305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773964800000",
    "number": "1104624774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1244 N MAIN ST STE 101",
            "city": "TOOELE",
            "state": "UT",
            "postal_code": "840749839",
            "telephone_number": "435-244-3143",
            "fax_number": "435-359-5221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1244 N MAIN ST STE 101",
            "city": "TOOELE",
            "state": "UT",
            "postal_code": "840749839",
            "telephone_number": "435-260-5521",
            "fax_number": "435-359-5221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRINKERHOFF",
        "first_name": "TYSON",
        "middle_name": "JAMES",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-03-07",
        "last_updated": "2026-03-20",
        "certification_date": "2026-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "UT",
            "license": "10826752-4405",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "UT",
            "license": "10826752-3102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tooele, UT

Sources for this page

Verify at the official NPI Registry.