Calm Mind, Inc.
Organization Active NPI Clinical Psychologist · Sandy, UT
NPI 1215360425 · NPPES record last updated Apr 18, 2019
Key facts
- NPI
- 1215360425
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 2004192501 (UT)
- Legal business name
- CALM MIND, INC.
- Practice address
- 8706 S 700 E Ste 103
Sandy, UT 84070-1808 - Phone
- (801) 652-2720
- Fax
- (801) 606-7738
- NPI assigned
- Aug 12, 2013
- Organization subpart
- No
Authorized official
- Name
- Ms. Kayleen M Fuller, PHD
- Title
- President
- Phone
- (801) 652-2720
Practitioners 3
-
Kayleen M Fuller, PH.D.
-
Chad Kendall Frandsen, D.C.
-
Richard Thomas Ruff, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160211001755 | UT | Part B Supplier - Clinic/Group Practice | 4981908951 |
Receives reassigned benefits from 1 practitioner Practice locations: Sandy, UT |
National Provider Directory
Locations
8706 S 700 E
Ste 103
Sandy, UT 84070
Phone (801) 508-2996
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist |
103TC0700X | 2004192501 | UT | Yes |
Addresses
Primary practice location
8706 S 700 E Ste 103
Sandy, UT 84070-1808
Mailing address
8706 S 700 E Ste 103
Sandy, UT 84070-1808
Phone (801) 652-2720
Other practice location 1
2666 S 2000 E Ste 101
Slc, UT 84109-1721
Phone (801) 652-2720
Other providers in Sandy, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 18, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.