Carmela J Javellana, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

280094-1205 Issued in UT

Practice address

13 W 3100 S
Bountiful, UT 84010-5734

Phone

(801) 268-0333

Fax

(801) 268-3777

NPI assigned

Sep 12, 2006

Last updated

May 3, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

PsychiatryAlso: Neuropsychiatry

Education

Other, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Ascendant Behavioral Health LLCGroup PAC ID 1850673187, 62 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• UT PPO D-SNP
• UT PPO

Interoperability endpoints

• Direct secure messaging: lifestancehealth.carmelajavellana@154909.advancedmd-direct.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ascendant Behavioral Health LLC

  dba Ascendant Behavioral Health DBA LifeStance

  • Clinical Social Worker
  • Murray, UT
  • NPI 1689128605
  Medicare reassignment Care Compare group NPD
• Sanctuary for Healing & Integration PLLC

  • Mental Health Counselor
  • Salt Lake City, UT
  • NPI 1417218371
  Medicare reassignment NPD Authorized official
• Neurobehavioral Center for Growth LLC

  • Psychologist
  • Bountiful, UT
  • NPI 1942641931
  Medicare reassignment NPD
• Pioneer Injury Care

  • Nurse Practitioner
  • Draper, UT
  • NPI 1114382033
  NPD (past)

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556841600000",
    "number": "1215031778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 W 3100 S",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840105734",
            "telephone_number": "801-268-0333",
            "fax_number": "801-268-3777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 W 3100 S",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840105734",
            "telephone_number": "801-268-0333",
            "fax_number": "801-268-3777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAVELLANA",
        "first_name": "CARMELA",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-12",
        "last_updated": "2019-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "UT",
            "license": "280094-1205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IHC",
            "identifier": "107008135102",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James E Russon DDS PC
• James H. Martineau, DMD, PLLC (Viva Orthodontics)
• Shane James, M.S. CCC-SLP
• Launee Lyn Janes, COTA
• Jared J Tyson MD PC
• Garrett Tanner Jefferies
• Jeffery R. Oka, M.D., P.C.
• Sydney R Jeffries, LCSW
• Mardiene Jeffs, PA-C
• Erik Jenkins, LCSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.