Organization Active NPI

My Core Therapy, LLC

  • Community/Behavioral Health Agency
  • American Fork, UT
National Provider Identifier
1265010078
Registry record updated Apr 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MY CORE THERAPY, LLC
Practice address
395 E 60 S
American Fork, UT 84003-3835
Phone
(801) 763-7263
NPI assigned
Apr 1, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2021

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

Authorized official

Name
Tisha Dayton, RNNPI 1164165817
Title
Ceo
Phone
(801) 616-7135

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
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

395 E 60 S
American Fork, UT 84003-3835

Mailing address

395 E 60 S
American Fork, UT 84003-3835
Phone (801) 763-7263

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://secure.simplepractice.com/users/sign_in Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

395 E 60 S
American Fork, UT 84003
Phone (801) 763-7263

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": "1617235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617235200000",
    "number": "1265010078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "395 E 60 S",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840033835",
            "telephone_number": "801-763-7263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 E 60 S",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840033835",
            "telephone_number": "801-763-7263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY CORE THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-01",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A",
        "authorized_official_last_name": "DAYTON",
        "authorized_official_first_name": "TISHA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "801-616-7135",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://secure.simplepractice.com/users/sign_in",
            "affiliation": "N",
            "endpointDescription": "EHR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "395 E 60 S",
            "city": "American Fork",
            "state": "UT",
            "country_code": "US",
            "postal_code": "840033835",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in American Fork, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2021; 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.