NPIMap

Organization Active NPI

Lone Peak Psychiatry, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Murray, UT
National Provider Identifier
1336890318
Registry record updated Mar 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
LONE PEAK PSYCHIATRY, LLC
Practice address
688 E Vine St
Murray, UT 84107-5549
Phone
(801) 436-6556
Fax
(833) 921-2195
NPI assigned
Jan 12, 2022
Last updated
Mar 7, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2022

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

Authorized official

Name
Joshua Reed Bentley, PMHNP
Title
Owner
Phone
(801) 436-6556

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

688 E Vine St
Murray, UT 84107-5549

Mailing address

688 E Vine St
Murray, UT 84107-5549
Phone (801) 436-6556

National Provider Directory

National Provider Directory

Locations

3300 N Triumph Blvd
Ste 100200
Lehi, UT 84043
Phone (801) 436-6556

688 E Vine St
Murray, UT 84107
Phone (801) 436-6556

688 E Vine St
Ste 14
Murray, UT 84107
Phone (801) 436-6556

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24950/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1641945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646611200000",
    "number": "1336890318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "688 E VINE ST",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841075549",
            "telephone_number": "801-436-6556",
            "fax_number": "833-921-2195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "688 E VINE ST",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841075549",
            "telephone_number": "801-436-6556",
            "fax_number": "833-921-2195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONE PEAK PSYCHIATRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-12",
        "last_updated": "2022-03-07",
        "certification_date": "2022-03-04",
        "status": "A",
        "authorized_official_last_name": "BENTLEY",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "REED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-436-6556",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murray, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2022; 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.