Sycamore Mental Health

Primary specialty

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

Legal business name

SYCAMORE MENTAL HEALTH

Practice address

111 E Forest St Ste H
Brigham City, UT 84302-2127

Phone

(801) 588-9538

NPI assigned

Jan 3, 2024

Organization subpart

No

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

Authorized official

Name

Joan C Rasmussen, LCSWNPI 1982106852

Title

Owner

Phone

(801) 588-9538

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Sycamore Mental Health Doing business as

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Locations

Practitioners 1

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

• Joan C Rasmussen, LCSW

  • Clinical Social Worker
  • Brigham City, UT
  • NPI 1982106852
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1704240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704240000000",
    "number": "1497525125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "669 S APPALOOSA CIR",
            "city": "WILLARD",
            "state": "UT",
            "postal_code": "843409629",
            "telephone_number": "801-588-9538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 E FOREST ST STE H",
            "city": "BRIGHAM CITY",
            "state": "UT",
            "postal_code": "843022127",
            "telephone_number": "801-588-9538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYCAMORE MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-03",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A",
        "authorized_official_last_name": "RASMUSSEN",
        "authorized_official_first_name": "JOAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-588-9538",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1982106852",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sycamore Mental Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Caroline Summerhays
• Summit Hand Therapy
• Summit Hand Therapy Limited Partnership
• Phillip Jonathan Sutton, DDS
• Makaya Swain
• Cyndi Tangren, LCSW
• Lance Webb Tarver
• Rollie Tatro
• Michael Anthony Taurone
• Britney A Tayler

• Mental Health Clinic/Center (Including Community Mental Health Center) in Brigham City, UT
• Providers in Brigham City, 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 Jan 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.