Individual provider Active NPI

James Freeman Palmer, DO

  • Child & Adolescent Psychiatry Physician
  • Provo, UT
National Provider Identifier
1417214958
Registry record updated Feb 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
10333270-1204 Issued in UT
Practice address
1157 N 300 W
Provo, UT 84604-6124
Phone
(801) 357-7525
NPI assigned
Apr 23, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 10333270-1204 UT Primary

Addresses

Primary practice location

1157 N 300 W
Provo, UT 84604-6124

Mailing address

1157 N 300 W
Provo, UT 84604-6124
Phone (801) 357-7525

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170706001857 UT Practitioner - Psychiatry 4688976657 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
10333270-1204UTMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services Inc CurrentSince Feb 1, 2024 Accepting new patients
Ihc Health Services, Inc. Psychiatry CurrentSince Jun 9, 2017 Accepting new patients
Ihc Health Services Inc Current Accepting new patients
Ihc Health Services Inc Current Accepting new patients
Ihc Health Services CurrentSince Jun 9, 2017 Accepting new patients

Locations

98 N 1100 E
American Fork, UT 84003
Phone (801) 235-7246

700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555

1225 E Fort Union Blvd
Ste 315
Midvale, UT 84047
Phone (801) 233-4100

4403 Harrison Blvd
Ogden, UT 84403
Phone (801) 387-2800

505 W 400 N
Orem, UT 84057
Phone (801) 357-7525

1157 N 300 W
Provo, UT 84604
Phone (801) 357-1200

395 W Cougar Blvd
Ste 601
Provo, UT 84604
Phone (801) 357-7525

400 C St
Salt Lake Cty, UT 84143
Phone (435) 688-4080

819 E Market Place Dr
Spanish Fork, UT 84660
Phone (385) 344-6600

5770 S 1500 W
Bldg C
Taylorsville, UT 84123
Phone (801) 265-3049

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1335139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519171200000",
    "number": "1417214958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1157 N 300 W",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846046124",
            "telephone_number": "801-357-7525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1157 N 300 W",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846046124",
            "telephone_number": "801-357-7525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "JAMES",
        "middle_name": "FREEMAN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-23",
        "last_updated": "2018-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "UT",
            "license": "10333270-1204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Provo, UT

Sources for this page

Verify at the official NPI Registry.