Active NPI
Mind Anchor Psychiatry
- Psychiatric/Mental Health Nurse Practitioner
- Bountiful, UT
National Provider Identifier
1134836653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- MIND ANCHOR PSYCHIATRY
- Practice address
- 1480 S Orchard Dr Ste 107
Bountiful, UT 84010-5178 - Phone
- (801) 382-8336
- Fax
- (385) 300-1842
- NPI assigned
- Nov 3, 2022
- Last updated
- Nov 14, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Garrett Jefferies, APRN
- Title
- Owner, Provider
- Phone
- (540) 809-8858
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
1480 S Orchard Dr Ste 107
Bountiful, UT 84010-5178
Mailing address
1480 S Orchard Dr Ste 107
Bountiful, UT 84010-5178
Phone (801) 683-9335
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Bountiful, UT
- NPI 1780302158
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667433600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1763078400000",
"number": "1134836653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1480 S ORCHARD DR STE 107",
"city": "BOUNTIFUL",
"state": "UT",
"postal_code": "840105178",
"telephone_number": "801-683-9335",
"fax_number": "385-300-1842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1480 S ORCHARD DR STE 107",
"city": "BOUNTIFUL",
"state": "UT",
"postal_code": "840105178",
"telephone_number": "801-382-8336",
"fax_number": "385-300-1842"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIND ANCHOR PSYCHIATRY",
"organizational_subpart": "NO",
"enumeration_date": "2022-11-03",
"last_updated": "2025-11-14",
"certification_date": "2025-11-14",
"status": "A",
"authorized_official_last_name": "JEFFERIES",
"authorized_official_first_name": "GARRETT",
"authorized_official_title_or_position": "OWNER, PROVIDER",
"authorized_official_telephone_number": "540-809-8858",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bountiful, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.