Family Mental Health

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

FAMILY MENTAL HEALTH

Practice address

1060 S Main St Ste 301
St George, UT 84770-5260

Phone

(435) 650-9854

Fax

(435) 200-3579

NPI assigned

Jun 23, 2021

Last updated

Jul 25, 2024By 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

Austin Kyle Elder, PHDNPI 1881651115

Title

Licensed Clinical Psychologist

Phone

(435) 650-9854

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Locations

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.

• Austin Kyle Elder, PHD

  • Psychologist
  • St George, UT
  • NPI 1881651115
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1624406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721865600000",
    "number": "1144899170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 E 550 N",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847901522",
            "telephone_number": "435-650-9854",
            "fax_number": "435-200-3579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 S MAIN ST STE 301",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847705260",
            "telephone_number": "435-650-9854",
            "fax_number": "435-200-3579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-23",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A",
        "authorized_official_last_name": "ELDER",
        "authorized_official_first_name": "AUSTIN",
        "authorized_official_middle_name": "KYLE",
        "authorized_official_title_or_position": "LICENSED CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "435-650-9854",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in St George, UT
• Providers in St George, UT by specialty
• Psychologist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.