Organization Active NPI

The Neurodiversity Clinic

  • Psychiatric/Mental Health Nurse Practitioner
  • Millcreek, UT
National Provider Identifier
1235967209
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
THE NEURODIVERSITY CLINIC
Practice address
970 E 3300 S Ste 7
Millcreek, UT 84106-2183
Phone
(801) 432-0015
Fax
(866) 323-1403
NPI assigned
Jul 22, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Sarah Maccombie, CMHC, OTNPI 1952710410
Title
Clinical Director
Phone
(801) 432-0015

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
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

970 E 3300 S Ste 7
Millcreek, UT 84106-2183

Mailing address

970 E 3300 S Ste 7
Millcreek, UT 84106-2183
Phone (801) 432-0015

National Provider Directory

National Provider Directory

Locations

970 E 3300 S
Ste 7
Millcreek, UT 84106
Phone (801) 432-0015

Practitioners & affiliated clinicians

Practitioners 2

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": "1721606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1235967209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "970 E 3300 S STE 7",
            "city": "MILLCREEK",
            "state": "UT",
            "postal_code": "841062183",
            "telephone_number": "801-432-0015",
            "fax_number": "866-323-1403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 E 3300 S STE 7",
            "city": "MILLCREEK",
            "state": "UT",
            "postal_code": "841062183",
            "telephone_number": "801-432-0015",
            "fax_number": "866-323-1403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE NEURODIVERSITY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-22",
        "last_updated": "2025-09-11",
        "certification_date": "2024-07-22",
        "status": "A",
        "authorized_official_last_name": "MACCOMBIE",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "801-432-0015",
        "authorized_official_credential": "CMHC, OT"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "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 Sep 11, 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.