Active NPI
Psychsolutions PC
- Psychiatric/Mental Health Nurse Practitioner
- Salt Lake City, UT
National Provider Identifier
1154631489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 58988864405
- Legal business name
- PSYCHSOLUTIONS PC
- Practice address
- 44 W Broadway Apt 2106
Salt Lake City, UT 84101-3223 - Phone
- (801) 831-8141
- Fax
- (866) 382-8761
- NPI assigned
- Oct 20, 2010
- 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
- Mr. Isaac Alfaro, APRN
- Title
- Sole Proprietor
- Phone
- (801) 831-8141
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 58988864405 | UT | Primary |
Addresses
Primary practice location
44 W Broadway Apt 2106
Salt Lake City, UT 84101-3223
Mailing address
2561 S 1560 W Ste B
Woods Cross, UT 84087-2361
Phone (801) 505-0821
Other practice location 1
7300 S 300 W
#303
Midvale, UT 84047
Phone (801) 566-1502
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5898886-4405 | Other | UT | LICENSE |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287532800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1638748800000",
"number": "1154631489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2561 S 1560 W STE B",
"city": "WOODS CROSS",
"state": "UT",
"postal_code": "840872361",
"telephone_number": "801-505-0821",
"fax_number": "801-505-0803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44 W BROADWAY APT 2106",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841013223",
"telephone_number": "801-831-8141",
"fax_number": "866-382-8761"
}
],
"practiceLocations": [
{
"address_1": "7300 S 300 W",
"address_2": "#303",
"address_purpose": "LOCATION",
"city": "Midvale",
"state": "UT",
"postal_code": "84047",
"country_code": "US",
"telephone_number": "801-566-1502",
"fax_number": "186-638-2876",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "PSYCHSOLUTIONS PC",
"organizational_subpart": "NO",
"enumeration_date": "2010-10-20",
"last_updated": "2021-12-06",
"certification_date": "2021-12-06",
"status": "A",
"authorized_official_last_name": "ALFARO",
"authorized_official_first_name": "ISAAC",
"authorized_official_title_or_position": "SOLE PROPRIETOR",
"authorized_official_telephone_number": "801-831-8141",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "UT",
"license": "58988864405",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "5898886-4405",
"state": "UT"
}
],
"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 Dec 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.