Buffalo Wellness

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

BUFFALO WELLNESS

Practice address

3486 S Sorenson Way
Salt Lake City, UT 84109-3114

Phone

(406) 239-0401

NPI assigned

Nov 21, 2022

Last updated

Nov 21, 2022By 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

Kasandra Lundquist, LCSW

Title

Owner

Phone

(406) 239-0401

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, and the practitioner matching its NPPES authorized official.

• Monica Mason

  • Social Worker
  • Salt Lake City, UT
  • NPI 1326340753
  NPD
• Tara McArthur, CSW

  • Clinical Social Worker
  • Holladay, UT
  • NPI 1578371753

  Single Specialty

  NPD

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

{
    "created_epoch": "1668988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668988800000",
    "number": "1346959038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3486 S SORENSON WAY",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841093114",
            "telephone_number": "406-239-0401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3486 S SORENSON WAY",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841093114",
            "telephone_number": "406-239-0401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUFFALO WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-21",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-21",
        "status": "A",
        "authorized_official_last_name": "LUNDQUIST",
        "authorized_official_first_name": "KASANDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-239-0401",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Robert Buell, MD
• Sarah Beth Buening, D.P.T
• Natalie Buerger, PH.D.
• Jane Buerkel, OTR/L
• Ann Marie Bufano
• Keegan James Buffington
• Corinne Elise Buffo, OTR/L
• Anna Buhman
• Brandon Bui
• Chieu Bui, PHARMACIST

• Adult Mental Health Clinic/Center in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Adult Mental Health Clinic/Center in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.