NPIMap

Organization Active NPI

Merryweather-O'Banion Psychologists, P.C.

  • Psychologist
  • Salt Lake City, UT
National Provider Identifier
1154464741
Registry record updated Apr 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
109246-2501 Issued in UT
Legal business name
MERRYWEATHER-O'BANION PSYCHOLOGISTS, P.C.
Practice address
2290 E 4500 S
Suite 100
Salt Lake City, UT 84117-4492
Phone
(801) 272-0394
Fax
(801) 272-0118
NPI assigned
Feb 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2009

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

Authorized official

Name
Dr. John Francis Merryweather, PH.D.NPI 1578505251
Title
Psychologist
Phone
(801) 272-0394

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103T00000X 109246-2501 UT Primary
PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103T00000X 109053-2501 UT

Addresses

Primary practice location

2290 E 4500 S
Suite 100
Salt Lake City, UT 84117-4492

Mailing address

2290 East 4500 South
Suite 100
Salt Lake City, UT 84117-4493
Phone (801) 272-0394

National Provider Directory

National Provider Directory

Locations

2290 E 4500 S
Ste 100
Salt Lake City, UT 84117
Phone (801) 266-0394

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240531200000",
    "number": "1154464741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2290 EAST 4500 SOUTH",
            "address_2": "SUITE 100",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841174493",
            "telephone_number": "801-272-0394",
            "fax_number": "801-272-0118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2290 E 4500 S",
            "address_2": "SUITE 100",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841174492",
            "telephone_number": "801-272-0394",
            "fax_number": "801-272-0118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERRYWEATHER-O'BANION PSYCHOLOGISTS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2009-04-24",
        "status": "A",
        "authorized_official_last_name": "MERRYWEATHER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "FRANCIS",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "801-272-0394",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "UT",
            "license": "109246-2501",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "UT",
            "license": "109053-2501",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2009; 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.