NPIMap

Organization Active NPI

Rivendell Clinic LLC

  • Clinic/Center
  • Provo, UT
National Provider Identifier
1326745787
Registry record updated Dec 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
RIVENDELL CLINIC LLC
Practice address
3507 N University Ave Ste 350F
Provo, UT 84604-4478
Phone
(385) 446-5010
Fax
(385) 446-5012
NPI assigned
Feb 15, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2025

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

Authorized official

Name
Dr. Sarah Ingerson, DNPNPI 1659826915
Title
Dr
Phone
(385) 985-8423

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

3507 N University Ave Ste 350F
Provo, UT 84604-4478

Mailing address

3507 N University Ave Ste 350F
Provo, UT 84604-4478
Phone (385) 446-5010

National Provider Directory

National Provider Directory

Locations

3507 N University Ave
Ste 350F
Provo, UT 84604
Phone (385) 446-5010

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": "1676419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764720000000",
    "number": "1326745787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3507 N UNIVERSITY AVE STE 350F",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846044478",
            "telephone_number": "385-446-5010",
            "fax_number": "385-446-5012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3507 N UNIVERSITY AVE STE 350F",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846044478",
            "telephone_number": "385-446-5010",
            "fax_number": "385-446-5012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVENDELL CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-15",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A",
        "authorized_official_last_name": "INGERSON",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "DR",
        "authorized_official_telephone_number": "385-985-8423",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Provo, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2025; 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.