Active NPI
Journey Mental Health
- Clinic/Center
- Millcreek, UT
National Provider Identifier
1174338990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- JOURNEY MENTAL HEALTH
- Practice address
- 1414 E 4500 S Ste 3
Millcreek, UT 84117-4248 - Phone
- (385) 299-0473
- Fax
- (385) 255-9235
- NPI assigned
- Feb 10, 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
- Michael John-Paul Ryan, APRN- FNP
- Title
- Nurse Practitioner
- Phone
- (860) 306-6067
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
1414 E 4500 S Ste 3
Millcreek, UT 84117-4248
Mailing address
1414 E 4500 S Ste 3
Millcreek, UT 84117-4248
Phone (385) 299-0473
National Provider Directory
National Provider DirectoryLocations
1414 E 4500 S
Ste 3
Millcreek, UT 84117
Phone (385) 299-0473
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Millcreek, UT
- NPI 1427865948
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1739145600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1739145600000",
"number": "1174338990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1414 E 4500 S STE 3",
"city": "MILLCREEK",
"state": "UT",
"postal_code": "841174248",
"telephone_number": "385-299-0473",
"fax_number": "385-255-9235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1414 E 4500 S STE 3",
"city": "MILLCREEK",
"state": "UT",
"postal_code": "841174248",
"telephone_number": "385-299-0473",
"fax_number": "385-255-9235"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOURNEY MENTAL HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2025-02-10",
"last_updated": "2025-02-10",
"certification_date": "2025-02-10",
"status": "A",
"authorized_official_last_name": "RYAN",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "JOHN-PAUL",
"authorized_official_title_or_position": "NURSE PRACTITIONER",
"authorized_official_telephone_number": "860-306-6067",
"authorized_official_credential": "APRN- FNP"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Millcreek, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.