SL-Center of Revitalizing Psychiatry LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

SL-CENTER OF REVITALIZING PSYCHIATRY LLC

Doing business as

Center of Revitalizing Psychiatry

Practice address

1935 E Vine St Ste 170
Murray, UT 84121-2197

Phone

(801) 639-9833

Fax

(801) 639-9833

NPI assigned

Oct 16, 2025

Organization subpart

No

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

Authorized official

Name

Alina Nagdimunov

Title

Co-Owner/Ceo

Phone

(215) 605-7469

Specialties & licenses 2

Addresses

Other names 1

• Center of Revitalizing Psychiatry Doing business as

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Locations

Practitioners 4

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

• Sandra Flodin, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Murray, UT
  • NPI 1790661320
  Medicare reassignment NPD
• Josh Hooton, A/GNP, FNP-C, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Salem, UT
  • NPI 1306272471
  Medicare reassignment NPD
• Daxton Mark Johnson

  • Mental Health Counselor
  • Salt Lake City, UT
  • NPI 1720775448
  Medicare reassignment NPD
• Marina Tourkova, MD

  • Psychiatry Physician
  • Sarasota, FL
  • NPI 1386790038
  NPD

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

{
    "created_epoch": "1760572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770595200000",
    "number": "1194691931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9814 S CHYLENE DR STE 220",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840923557",
            "telephone_number": "215-605-7469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1935 E VINE ST STE 170",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841212197",
            "telephone_number": "801-639-9833",
            "fax_number": "801-639-9833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SL-CENTER OF REVITALIZING PSYCHIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-16",
        "last_updated": "2026-02-09",
        "certification_date": "2026-02-09",
        "status": "A",
        "authorized_official_last_name": "NAGDIMUNOV",
        "authorized_official_first_name": "ALINA",
        "authorized_official_title_or_position": "CO-OWNER/CEO",
        "authorized_official_telephone_number": "215-605-7469"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center of Revitalizing Psychiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John D Skaggs, M.D.
• Jeffrey R Skanchy, MD
• Larisse Skene, DMD
• Skin Pathology Consultants of Utah (Dermatopathology Center)
• Keanyn Thomas Skinfill, DPM
• Tracy H Slack
• Sophia Slade
• Sleep and Lung Clinic of Utah, Inc.
• Sleep Institute of Utah LC
• Sleep Medicine Clinic

• Psychiatry Physician in Murray, UT
• Providers in Murray, UT by specialty
• Psychiatry Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2026; 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.