Individual provider Active NPI

Mandy N Nelson, PMHNP

  • Psychiatry Physician
  • Altamont, UT
National Provider Identifier
1629964960
Registry record updated Jul 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
8876893-4405 Issued in UT
Practice address
15640 W 4000 N Ste B
Altamont, UT 84001-9740
Phone
(801) 885-6191
Fax
(435) 244-7785
NPI assigned
Jun 14, 2025
Last updated
Jul 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 8876893-4405 UT Primary

Addresses

Primary practice location

15640 W 4000 N Ste B
Altamont, UT 84001-9740

Mailing address

PO Box 495
Altamont, UT 84001-0495
Phone (801) 885-6191

Other practice location 1

276 E 950 S
Orem, UT 84058-7054
Phone (801) 885-6191

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
8876893-4405UTMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tranquility Counseling Services, PLLC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1749859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751846400000",
    "number": "1629964960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 495",
            "city": "ALTAMONT",
            "state": "UT",
            "postal_code": "840010495",
            "telephone_number": "801-885-6191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15640 W 4000 N STE B",
            "city": "ALTAMONT",
            "state": "UT",
            "postal_code": "840019740",
            "telephone_number": "801-885-6191",
            "fax_number": "435-244-7785"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "276 E 950 S",
            "address_purpose": "LOCATION",
            "city": "Orem",
            "state": "UT",
            "postal_code": "840587054",
            "country_code": "US",
            "telephone_number": "801-885-6191",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NELSON",
        "first_name": "MANDY",
        "middle_name": "N",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-14",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "UT",
            "license": "8876893-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamont, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2025; 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.