Organization Active NPI

Wasatch Psychotherapy and Consulting

  • Clinical Social Worker
  • Murray, UT
National Provider Identifier
1548658586
Registry record updated Dec 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
7095872 Issued in UT
Legal business name
WASATCH PSYCHOTHERAPY AND CONSULTING
Practice address
684 E Vine St
4B1
Murray, UT 84107-5548
Phone
(385) 232-6482
NPI assigned
Dec 29, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2014

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

Authorized official

Name
Mr. Christopher Cavin, LCSW
Title
Owner
Phone
(385) 232-6482

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 7095872 UT Primary

Addresses

Primary practice location

684 E Vine St
4B1
Murray, UT 84107-5548

Mailing address

684 E Vine St
4B1
Murray, UT 84107-5548
Phone (385) 232-6482

National Provider Directory

National Provider Directory

Locations

684 E Vine St
Ste 4B1
Murray, UT 84107
Phone (385) 232-6482

NPI Registry JSON

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

{
    "created_epoch": "1419811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419811200000",
    "number": "1548658586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "684 E VINE ST",
            "address_2": "4B1",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841075548",
            "telephone_number": "385-232-6482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "684 E VINE ST",
            "address_2": "4B1",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841075548",
            "telephone_number": "385-232-6482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASATCH PSYCHOTHERAPY AND CONSULTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-29",
        "last_updated": "2014-12-29",
        "status": "A",
        "authorized_official_last_name": "CAVIN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "385-232-6482",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "7095872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murray, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2014; 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.