Organization Active NPI

Witt-Doerring Psychiatric Consulting, LLC

  • Psychiatry Physician
  • Heber City, UT
National Provider Identifier
1467038851
Registry record updated Mar 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
WITT-DOERRING PSYCHIATRIC CONSULTING, LLC
Practice address
345 W 600 S Ste 147
Heber City, UT 84032-2247
Phone
(435) 800-4047
Fax
(985) 244-2466
NPI assigned
Mar 24, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2023

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

Authorized official

Name
Dr. Marissa Witt-Doerring, MDNPI 1841677820
Title
Owner
Phone
(435) 244-2466

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

345 W 600 S Ste 147
Heber City, UT 84032-2247

Mailing address

345 W 600 S Ste 147
Heber City, UT 84032-2247
Phone (435) 800-4047

Other practice location 1

10045 Baltimore National Pike Ste A71116
Ellicott City, MD 21042-3673
Phone (281) 962-8399

Other practice location 2

2225 Sycamore St Ste 690
Harrisburg, PA 17111-1026
Phone (281) 962-8399

National Provider Directory

National Provider Directory

Locations

10045 Baltimore National Pike
Ste A71116
Ellicott City, MD 21042
Phone (281) 962-8399

345 W 600 S
Ste 147
Heber City, UT 84032
Phone (435) 800-4047

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1616544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679961600000",
    "number": "1467038851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 W 600 S STE 147",
            "city": "HEBER CITY",
            "state": "UT",
            "postal_code": "840322247",
            "telephone_number": "435-800-4047",
            "fax_number": "985-244-2466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 W 600 S STE 147",
            "city": "HEBER CITY",
            "state": "UT",
            "postal_code": "840322247",
            "telephone_number": "435-800-4047",
            "fax_number": "985-244-2466"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10045 Baltimore National Pike Ste A71116",
            "address_purpose": "LOCATION",
            "city": "Ellicott City",
            "state": "MD",
            "postal_code": "210423673",
            "country_code": "US",
            "telephone_number": "281-962-8399",
            "fax_number": "985-244-2466",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2225 Sycamore St Ste 690",
            "address_purpose": "LOCATION",
            "city": "Harrisburg",
            "state": "PA",
            "postal_code": "171111026",
            "country_code": "US",
            "telephone_number": "281-962-8399",
            "fax_number": "985-244-2466",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WITT-DOERRING PSYCHIATRIC CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-24",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A",
        "authorized_official_last_name": "WITT-DOERRING",
        "authorized_official_first_name": "MARISSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "435-244-2466",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "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 Heber City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.