Active NPI
Grace Forsythe PHD Inc
- Psychiatric/Mental Health Nurse Practitioner
- Salt Lake City, UT
National Provider Identifier
1558430389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 2189134405
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 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 DirectoryLocations
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.