Individual provider Active NPI

Michelle Saggboy

  • Social Worker
  • Moab, UT
National Provider Identifier
1114537149
Registry record updated Aug 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
8607597-3502 Issued in UT
Practice address
198 E Center St
Moab, UT 84532-2430
Phone
(435) 259-6131
NPI assigned
Aug 4, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 8607597-3502 UT Primary

Addresses

Primary practice location

198 E Center St
Moab, UT 84532-2430

Mailing address

PO Box 867
Price, UT 84501-0867
Phone (435) 637-7200

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220304001811 UT Practitioner - Clinical Social Worker 8921492034 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8607597-3502UTMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Four Corners Community Behavioral Health, Inc. CurrentSince Feb 16, 2022 Accepting new patients
Four Corners Community Behavioral Health Inc CurrentSince Feb 16, 2022 Accepting new patients
Inpathy Behavioral Healthcare Group PC Social Worker Past Accepting new patients

Locations

198 E Center St
Moab, UT 84532
Phone (435) 259-2432

Interoperability endpoints

  • Direct secure messaging: michelle.saggboy.1@24284.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1596499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596499200000",
    "number": "1114537149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 867",
            "city": "PRICE",
            "state": "UT",
            "postal_code": "845010867",
            "telephone_number": "435-637-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "198 E CENTER ST",
            "city": "MOAB",
            "state": "UT",
            "postal_code": "845322430",
            "telephone_number": "435-259-6131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAGGBOY",
        "first_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-04",
        "last_updated": "2020-08-04",
        "certification_date": "2020-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "UT",
            "license": "8607597-3502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moab, UT

Sources for this page

Verify at the official NPI Registry.