Active NPI
Concussion Clinics
- Brain Injury Medicine (Psychiatry & Neurology) Physician
- Murray, UT
National Provider Identifier
1659143758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Brain Injury Medicine (Psychiatry & Neurology) Physician
- Legal business name
- CONCUSSION CLINICS
- Practice address
- 4700 S 900 E Ste 16
Murray, UT 84117-4980 - Phone
- (801) 758-5019
- NPI assigned
- Oct 23, 2023
- Last updated
- Oct 23, 2023
- 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. Cody Mecham, DC
- Title
- Manager
- Phone
- (801) 758-5019
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Brain Injury Medicine (Psychiatry & Neurology) Physician | 2084P0301X | NU | Primary |
Addresses
Primary practice location
4700 S 900 E Ste 16
Murray, UT 84117-4980
Mailing address
4700 S 900 E Ste 16
Murray, UT 84117-4980
Phone (801) 758-5019
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Chiropractor
- Taylorsville, UT
- NPI 1851608640
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698019200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1698019200000",
"number": "1659143758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4700 S 900 E STE 16",
"city": "MURRAY",
"state": "UT",
"postal_code": "841174980",
"telephone_number": "801-758-5019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4700 S 900 E STE 16",
"city": "MURRAY",
"state": "UT",
"postal_code": "841174980",
"telephone_number": "801-758-5019"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CONCUSSION CLINICS",
"organizational_subpart": "NO",
"enumeration_date": "2023-10-23",
"last_updated": "2023-10-23",
"certification_date": "2023-10-23",
"status": "A",
"authorized_official_last_name": "MECHAM",
"authorized_official_first_name": "CODY",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "801-758-5019",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "2084P0301X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Brain Injury Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Murray, UT
- Comprehensive Medical Services Jordan Health and Wellness Center, Inc
- Comprehensive Surgical Care of Murray, LLC
- Sean Compton, PT, DPT
- Comunidad Materna En Utah
- Rowena Concon
- Gregory Lyman Condie, DO
- Connections Counseling Services
- Alexander Paul Conner, PTA
- Karen Elizabeth Conner, MD
- Jennifer J Connolly, APRN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.