Organization Active NPI

Mind Anchor Psychiatry

  • Psychiatric/Mental Health Nurse Practitioner
  • Bountiful, UT
National Provider Identifier
1134836653
Registry record updated Nov 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2025

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

Authorized official

Name
Garrett Jefferies, APRNNPI 1780302158
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)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.