Mockingbird Wellness

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

MOCKINGBIRD WELLNESS

Practice address

11845 S 700 E Ste 104
Draper, UT 84020-9836

Phone

(801) 872-8704

NPI assigned

Sep 18, 2023

Organization subpart

No

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

Authorized official

Name

Haley Atkin

Title

Owner

Phone

(801) 856-2647

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1694995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694995200000",
    "number": "1407634736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11845 S 700 E STE 104",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840209836",
            "telephone_number": "801-872-8704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11845 S 700 E STE 104",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840209836",
            "telephone_number": "801-872-8704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOCKINGBIRD WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-18",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A",
        "authorized_official_last_name": "ATKIN",
        "authorized_official_first_name": "HALEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-856-2647"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Mills
• Sheila R Mioni, APRN
• Rebekkah Miranda, AG-ACNP
• Erica Steed Mitchell, PT, DPT
• Mobile Vivitrol, LLC
• Brookelyn Moeller
• Ryan C Moffat, DDS
• Chad Kenneth Molen, D.D.S.
• Alo Moli
• Edward Philsen Moli

• Mental Health Clinic/Center (Including Community Mental Health Center) in Draper, UT
• Providers in Draper, UT by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; 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.