Utah Psychological Health, LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

86373672501 Issued in UT

Legal business name

UTAH PSYCHOLOGICAL HEALTH, LLC

Doing business as

Utah Center for Psychological Health

Practice address

124 S 400 E
Suite 300
Salt Lake City, UT 84111-2135

Phone

(801) 355-0188

Fax

(801) 892-0773

NPI assigned

Mar 29, 2014

Last updated

Apr 6, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Sean Cunningham

Title

Psychologist

Phone

(801) 355-0188

Specialties & licenses 1

Addresses

Other names 1

• Utah Center for Psychological Health Doing business as

Locations

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

{
    "created_epoch": "1396051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396742400000",
    "number": "1295153013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 S 400 E",
            "address_2": "SUITE 300",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841112135",
            "telephone_number": "801-355-0188",
            "fax_number": "801-892-0773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 S 400 E",
            "address_2": "SUITE 300",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841112135",
            "telephone_number": "801-355-0188",
            "fax_number": "801-892-0773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UTAH PSYCHOLOGICAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-29",
        "last_updated": "2014-04-06",
        "status": "A",
        "authorized_official_last_name": "CUNNINGHAM",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "801-355-0188",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "UT",
            "license": "86373672501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Utah Center for Psychological Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Psychologist in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Psychologist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2014; 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.