NPIMap

Organization Active NPI

Mountain West Evaluation & Therapy Services

  • Psychologist
  • Salt Lake City, UT
National Provider Identifier
1285178459
Registry record updated Dec 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1444 Issued in NM
Legal business name
MOUNTAIN WEST EVALUATION & THERAPY SERVICES
Practice address
3344 S 1885 E
Salt Lake City, UT 84106-3942
Phone
(801) 871-9145
NPI assigned
Dec 7, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2016

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

Authorized official

Name
Dr. Stacey Graziano, PH.D.NPI 1245309087
Title
Licensed Psychologist/Owner
Phone
(801) 871-9145

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X 1444 NM Primary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X 9444446-2504 UT

Addresses

Primary practice location

3344 S 1885 E
Salt Lake City, UT 84106-3942

Mailing address

3344 S 1885 E
Salt Lake City, UT 84106-3942

Other names 1

  • MW Evaluations/Mountain West Evals Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mountain West Evaluation Therapy Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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": "1481068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481068800000",
    "number": "1285178459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3344 S 1885 E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841063942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3344 S 1885 E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841063942",
            "telephone_number": "801-871-9145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN WEST EVALUATION & THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-07",
        "last_updated": "2016-12-07",
        "status": "A",
        "authorized_official_last_name": "GRAZIANO",
        "authorized_official_first_name": "STACEY",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST/OWNER",
        "authorized_official_telephone_number": "801-871-9145",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "NM",
            "license": "1444",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "UT",
            "license": "9444446-2504",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MW Evaluations/Mountain West Evals",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2016; 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.