NPIMap

Organization Active NPI

Numinus Wellness Ut Inc

  • Psychiatry Physician
  • Springville, UT
National Provider Identifier
1265092282
Registry record updated Feb 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
NUMINUS WELLNESS UT INC
Practice address
672 W 400 S Ste 201
Springville, UT 84663-3170
Phone
(801) 369-8989
Fax
(801) 704-9741
NPI assigned
Jun 20, 2019
Last updated
Feb 2, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2026

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

Authorized official

Name
Reid Justin Robison, MD, MBA
Title
Chief Medical Officer
Phone
(801) 369-8989

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X NU Primary

Addresses

Primary practice location

672 W 400 S Ste 201
Springville, UT 84663-3170

Mailing address

672 W 400 S Ste 201
Springville, UT 84663-3170
Phone (801) 369-8989

Other practice location 1

48 N 1100 E Ste B
American Fork, UT 84003-2910
Phone (801) 369-8989

Other practice location 2

721 E 12200 S Ste 101
Draper, UT 84020-9723
Phone (801) 369-8989

Other practice location 3

154 E Myrtle Ave Ste 204
Murray, UT 84107-4850
Phone (801) 369-8989

Other practice location 4

2950 N Church St Ste 101
Layton, UT 84040-6504
Phone (801) 369-8989

Other names 3

  • Cedar Psychiatry INC Former legal business name
  • Cedar Psychiatry LLC Former legal business name
  • Foundations For Change AZ Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, AZ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20190822000230 UT Part B Supplier - Clinic/Group Practice 2163750688 Receives reassigned benefits from 88 practitioners
Practice locations: Springville, UT; Layton, UT
O20230414000085 AZ Part B Supplier - Clinic/Group Practice 2163750688 Receives reassigned benefits from 8 practitioners
Practice locations: Phoenix, AZ; Peoria, AZ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
46D2269412Cedar Psychiatry672 W 400 S, Suite 201, Springville, UT 84663Certificate of waiverSep 25, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Locations

16155 N 83rd Ave
Ste 211
Peoria, AZ 85382
Phone (602) 399-5792

2400 W Dunlap Ave
Ste 124
Phoenix, AZ 85021
Phone (520) 340-8686

721 E 12200 S
#101
Draper, UT 84020

2950 N Church St
Ste 101
Layton, UT 84040
Phone (801) 771-7202

1788 N State St
Orem, UT 84057
Phone (801) 404-2685

Practitioners & affiliated clinicians

Practitioners 111

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 111

NPI Registry JSON

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

{
    "created_epoch": "1560988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769990400000",
    "number": "1265092282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "672 W 400 S STE 201",
            "city": "SPRINGVILLE",
            "state": "UT",
            "postal_code": "846633170",
            "telephone_number": "801-369-8989",
            "fax_number": "801-704-9741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "672 W 400 S STE 201",
            "city": "SPRINGVILLE",
            "state": "UT",
            "postal_code": "846633170",
            "telephone_number": "801-369-8989",
            "fax_number": "801-704-9741"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "48 N 1100 E Ste B",
            "address_purpose": "LOCATION",
            "city": "American Fork",
            "state": "UT",
            "postal_code": "840032910",
            "country_code": "US",
            "telephone_number": "801-369-8989",
            "fax_number": "801-704-9741",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "721 E 12200 S Ste 101",
            "address_purpose": "LOCATION",
            "city": "Draper",
            "state": "UT",
            "postal_code": "840209723",
            "country_code": "US",
            "telephone_number": "801-369-8989",
            "fax_number": "801-369-8989",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "154 E Myrtle Ave Ste 204",
            "address_purpose": "LOCATION",
            "city": "Murray",
            "state": "UT",
            "postal_code": "841074850",
            "country_code": "US",
            "telephone_number": "801-369-8989",
            "fax_number": "801-704-9741",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2950 N Church St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Layton",
            "state": "UT",
            "postal_code": "840406504",
            "country_code": "US",
            "telephone_number": "801-369-8989",
            "fax_number": "801-704-9741",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NUMINUS WELLNESS UT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-20",
        "last_updated": "2026-02-02",
        "certification_date": "2026-02-02",
        "status": "A",
        "authorized_official_last_name": "ROBISON",
        "authorized_official_first_name": "REID",
        "authorized_official_middle_name": "JUSTIN",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "801-369-8989",
        "authorized_official_credential": "MD, MBA"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cedar Psychiatry INC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Cedar Psychiatry LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Foundations For Change AZ",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Springville, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.