NPIMap

Organization Active NPI

Clinical Consultants

  • Community/Behavioral Health Agency
  • Ogden, UT
National Provider Identifier
1659577476
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
12931 Issued in UT
Legal business name
CLINICAL CONSULTANTS
Practice address
2351 Grant Ave
Suite 100
Ogden, UT 84401-1406
Phone
(801) 621-8670
Fax
(801) 621-4512
NPI assigned
Jun 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Michael R. Odom, LSAC
Title
Administrator
Phone
(801) 233-8670

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 12931 UT Primary

Addresses

Primary practice location

2351 Grant Ave
Suite 100
Ogden, UT 84401-1406

Mailing address

2351 Grant Ave
Suite 100
Ogden, UT 84401-1406
Phone (801) 621-8670

National Provider Directory

National Provider Directory

Locations

2351 Grant Ave
Ste 100
Ogden, UT 84401
Phone (801) 598-5057

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659577476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2351 GRANT AVE",
            "address_2": "SUITE 100",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844011406",
            "telephone_number": "801-621-8670",
            "fax_number": "801-621-4512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2351 GRANT AVE",
            "address_2": "SUITE 100",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844011406",
            "telephone_number": "801-621-8670",
            "fax_number": "801-621-4512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAL CONSULTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ODOM",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "801-233-8670",
        "authorized_official_credential": "LSAC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "UT",
            "license": "12931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ogden, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.