Individual provider Active NPI

Christian H Monson, PSYD

  • Clinical Psychologist
  • Heber City, UT
National Provider Identifier
1649618307
Registry record updated Oct 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
8800479-2501 Issued in UT
Practice address
722 W 100 S
Suite 1
Heber City, UT 84032-3739
Phone
(208) 320-7525
NPI assigned
Jun 4, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X SE-202721 ID
Clinical Psychologist 103TC0700X 8800479-2501 UT Primary

Addresses

Primary practice location

722 W 100 S
Suite 1
Heber City, UT 84032-3739

Mailing address

700 W 300 N
Brigham City, UT 84302-1763
Phone (208) 320-7525

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140421000989 UT Practitioner - Clinical Psychologist 9133351406 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SE-202721IDMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Solstice Counseling & Wellness CurrentSince Oct 23, 2013 Accepting new patients
Brian J Taracena PSYD PC Clinical PastSince Oct 23, 2013 Accepting new patients
Experience Mental Wellness LLC PastSince Jun 25, 2023 Accepting new patients

Locations

722 W 100 S
#1
Heber City, UT 84032
Phone (435) 654-4037

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1370304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382486400000",
    "number": "1649618307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 W 300 N",
            "city": "BRIGHAM CITY",
            "state": "UT",
            "postal_code": "843021763",
            "telephone_number": "208-320-7525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "722 W 100 S",
            "address_2": "SUITE 1",
            "city": "HEBER CITY",
            "state": "UT",
            "postal_code": "840323739",
            "telephone_number": "208-320-7525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONSON",
        "first_name": "CHRISTIAN",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-04",
        "last_updated": "2013-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "ID",
            "license": "SE-202721",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "UT",
            "license": "8800479-2501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Heber City, UT

Sources for this page

Verify at the official NPI Registry.