NPIMap

Organization Active NPI

Silver Creek Psychiatry

  • Adult Mental Health Clinic/Center
  • Orem, UT
National Provider Identifier
1265941702
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
6147456-1204 Issued in UT
Legal business name
SILVER CREEK PSYCHIATRY
Practice address
1480 E 820 N
Orem, UT 84097-5481
Phone
(801) 830-8541
NPI assigned
Sep 27, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Tara Gleave, DON/RN
Title
RN/Don
Phone
(801) 830-8541

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X 6147456-1204 UT Primary

Addresses

Primary practice location

1480 E 820 N
Orem, UT 84097-5481

Mailing address

1480 E 820 N
Orem, UT 84097-5481
Phone (801) 830-8541

National Provider Directory

National Provider Directory

Locations

1480 E 820 N
Orem, UT 84097
Phone (801) 830-8541

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21303/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1506470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1265941702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1480 E 820 N",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840975481",
            "telephone_number": "801-830-8541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1480 E 820 N",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840975481",
            "telephone_number": "801-830-8541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVER CREEK PSYCHIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-27",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GLEAVE",
        "authorized_official_first_name": "TARA",
        "authorized_official_title_or_position": "RN/DON",
        "authorized_official_telephone_number": "801-830-8541",
        "authorized_official_credential": "DON/RN"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "UT",
            "license": "6147456-1204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orem, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.