Organization Active NPI

Journey Mental Health

  • Clinic/Center
  • Millcreek, UT
National Provider Identifier
1174338990
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
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

Updated by the provider on Feb 10, 2025

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

Authorized official

Name
Michael John-Paul Ryan, APRN- FNPNPI 1427865948
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.