NPIMap

Organization Active NPI

Melanie Nielsen Pmhnp PLLC

Doing business as Functional Minds Psychiatry

  • Psychiatric/Mental Health Nurse Practitioner
  • Kaysville, UT
National Provider Identifier
1619652310
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
MELANIE NIELSEN PMHNP PLLC
Doing business as
Functional Minds Psychiatry
Practice address
375 N Main St Ste 203
Kaysville, UT 84037-1278
Phone
(801) 882-7484
Fax
(801) 797-0275
NPI assigned
Jun 20, 2023
Last updated
Jan 29, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2025

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

Authorized official

Name
Melanie Nielsen, PMHNPNPI 1427570118
Title
Owner/Provider
Phone
(801) 882-7484

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
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU Primary

Addresses

Primary practice location

375 N Main St Ste 203
Kaysville, UT 84037-1278

Mailing address

375 N Main St Ste 203
Kaysville, UT 84037-1278
Phone (801) 882-7484

Other names 1

  • Functional Minds Psychiatry Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
46D2333231Functional Minds Psychiatry375 N Main Street, Suite #203, Kaysville, UT 84037Certificate of waiverOct 30, 2027

National Provider Directory

National Provider Directory

Locations

283 N 300 W
Ste 501
Kaysville, UT 84037
Phone (801) 513-5694

375 N Main St
Ste 203
Kaysville, UT 84037
Phone (801) 882-7484

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1687219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738108800000",
    "number": "1619652310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 N MAIN ST STE 203",
            "city": "KAYSVILLE",
            "state": "UT",
            "postal_code": "840371278",
            "telephone_number": "801-882-7484",
            "fax_number": "801-797-0275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 N MAIN ST STE 203",
            "city": "KAYSVILLE",
            "state": "UT",
            "postal_code": "840371278",
            "telephone_number": "801-882-7484",
            "fax_number": "801-797-0275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELANIE NIELSEN PMHNP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-20",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A",
        "authorized_official_last_name": "NIELSEN",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "801-882-7484",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Functional Minds Psychiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kaysville, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.