Organization Active NPI

Grace Forsythe PHD Inc

  • Psychiatric/Mental Health Nurse Practitioner
  • Salt Lake City, UT
National Provider Identifier
1558430389
Registry record updated Dec 31, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
2189134405 Issued in UT
Legal business name
GRACE FORSYTHE PHD INC
Practice address
2046 Murray Holladay Rd
103
Salt Lake City, UT 84117-5125
Phone
(801) 273-7769
Fax
(801) 273-4073
NPI assigned
Nov 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2010

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

Authorized official

Name
Dr. Grace A Forsythe, PHD, APRN
Title
President
Phone
(801) 273-7769

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X 2189134405 UT Primary

Addresses

Primary practice location

2046 Murray Holladay Rd
103
Salt Lake City, UT 84117-5125

Mailing address

4271 Neptune Dr
Salt Lake City, UT 84124-3362
Phone (801) 273-7769

National Provider Directory

National Provider Directory

Locations

2046 E Murray Holladay Rd
Salt Lake City, UT 84117
Phone (801) 910-3516

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293753600000",
    "number": "1558430389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4271 NEPTUNE DR",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841243362",
            "telephone_number": "801-273-7769",
            "fax_number": "801-273-4073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2046 MURRAY HOLLADAY RD",
            "address_2": "103",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841175125",
            "telephone_number": "801-273-7769",
            "fax_number": "801-273-4073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE FORSYTHE PHD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2010-12-31",
        "status": "A",
        "authorized_official_last_name": "FORSYTHE",
        "authorized_official_first_name": "GRACE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-273-7769",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, APRN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "UT",
            "license": "2189134405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2010; 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.