Organization Active NPI

SL Psychology, PLLC

  • Mental Health Counselor
  • Salt Lake City, UT
National Provider Identifier
1386487791
Registry record updated Jun 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
SL PSYCHOLOGY, PLLC
Practice address
1371 E 2100 S Ste 102
Salt Lake City, UT 84105-3731
Phone
(385) 707-1193
NPI assigned
Jun 13, 2024
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Lauren Masuda, PSYD, ABPPNPI 1700245065
Title
Manager
Phone
(385) 707-1193

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory

Locations

1371 E 2100 S
Ste 102
Salt Lake City, UT 84105
Phone (385) 707-1193

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

NPPES NPI Registry

Primary practice location

1371 E 2100 S Ste 102
Salt Lake City, UT 84105-3731

Mailing address

1371 E 2100 S Ste 102
Salt Lake City, UT 84105-3731
Phone (385) 707-1193

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 13, 2024.

{
    "created_epoch": "1718236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718236800000",
    "number": "1386487791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1371 E 2100 S STE 102",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841053731",
            "telephone_number": "385-707-1193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1371 E 2100 S STE 102",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841053731",
            "telephone_number": "385-707-1193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SL PSYCHOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-13",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A",
        "authorized_official_last_name": "MASUDA",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "385-707-1193",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD, ABPP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; 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.