Spark Behavioral Health and TMS LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

SPARK BEHAVIORAL HEALTH AND TMS LLC

Practice address

167 N 400 W # A3
Orem, UT 84057-1909

Phone

(801) 900-4670

Fax

(801) 996-7123

NPI assigned

Jul 9, 2019

Organization subpart

No

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

Authorized official

Name

Britney Marie Palombo, DNP, APRN, PMHNP-BCNPI 1912494675

Title

Owner/Clinical Director

Phone

(801) 900-4670

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Britney Marie Palombo, DNP, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Pleasant Grove, UT
  • NPI 1912494675
  NPD (past) Authorized official
• Shyler Bischof, DNP PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Pleasant Grove, UT
  • NPI 1649935693
  NPD (past)

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

{
    "created_epoch": "1562630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705881600000",
    "number": "1295387355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 S MAIN ST",
            "city": "PLEASANT GROVE",
            "state": "UT",
            "postal_code": "840622631",
            "telephone_number": "801-900-4670",
            "fax_number": "801-996-7123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167 N 400 W # A3",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840571909",
            "telephone_number": "801-900-4670",
            "fax_number": "801-996-7123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARK BEHAVIORAL HEALTH AND TMS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-09",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A",
        "authorized_official_last_name": "PALOMBO",
        "authorized_official_first_name": "BRITNEY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER/CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "801-900-4670",
        "authorized_official_credential": "DNP, APRN, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; 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.