Alliance Behavioral Psychiatry, LLC
Organization Active NPI Clinic/Center · Orem, UT
NPI 1306873062 · NPPES record last updated Dec 2, 2022
Key facts
- NPI
- 1306873062
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- License
- 5166088-1205 (UT)
- Legal business name
- ALLIANCE BEHAVIORAL PSYCHIATRY, LLC
- Practice address
- 361 E 1200 S
Suite 201
Orem, UT 84058-6904 - Phone
- (801) 224-3014
- NPI assigned
- Jun 27, 2006
- Organization subpart
- No
Authorized official
- Name
- David L Paulson, MD
- Title
- Manager
- Phone
- (801) 224-3014
Practitioners 10
-
Rebecca Harvey, DNP
-
Karina McDonald, MSN, APRN, PMHNP
-
Brooke Gibbons Merrill, PMHNP-BC
-
Daniel Bryan Muster, APRN, PMHNP-BC
-
Traci Naylor, APRN, PMHNP
-
David L Paulson, MD
-
Corrine Whitaker, PMHNP
-
Mekenzie Cooper, APRN
-
William Bunn, DO
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070828000820 | UT | Part B Supplier - Clinic/Group Practice | 7214029743 |
Receives reassigned benefits from 9 practitioners Practice locations: Orem, UT; Lehi, UT |
National Provider Directory
- Medicare enrollment (NPD)
- No
Locations
2135 W Main St
Ste B207
Lehi, UT 84043
Phone (801) 224-3014
363 E 1200 S
#201
Orem, UT 84058
Phone (801) 224-2313
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | 5166088-1205 | UT | Yes |
Addresses
Primary practice location
361 E 1200 S
Suite 201
Orem, UT 84058-6904
Mailing address
361 E 1200 S
Suite 201
Orem, UT 84058-6904
Phone (801) 362-6238
Other practice location 1
2135 W Main St Ste B207
Lehi, UT 84043-6937
Phone (801) 224-3014
Other providers in Orem, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 2, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.