Organization Active NPI

Utah Psychiatric Clinic, LLC

  • Psychiatry Physician
  • Draper, UT
National Provider Identifier
1356847206
Registry record updated Nov 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
UTAH PSYCHIATRIC CLINIC, LLC
Practice address
12221 S 900 E
Draper, UT 84020-7413
Phone
(801) 592-2002
NPI assigned
Mar 31, 2018
Last updated
Nov 29, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2022

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

Authorized official

Name
Daniel Bryan InouyeNPI 1013335827
Title
President
Phone
(801) 592-2002

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

12221 S 900 E
Draper, UT 84020-7413

Mailing address

12221 S 900 E
Draper, UT 84020-7413
Phone (801) 592-2002

National Provider Directory

National Provider Directory

Locations

2290 E 4500 S
Ste 215
Holladay, UT 84117
Phone (801) 534-1360

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1522454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669680000000",
    "number": "1356847206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12221 S 900 E",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840207413",
            "telephone_number": "801-592-2002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12221 S 900 E",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840207413",
            "telephone_number": "801-592-2002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UTAH PSYCHIATRIC CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-31",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-29",
        "status": "A",
        "authorized_official_last_name": "INOUYE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "BRYAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-592-2002"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Draper, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 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.