Organization Active NPI

Dynamic Psychiatry PLLC

  • Psychiatry Physician
  • South Jordan, UT
National Provider Identifier
1679225536
Registry record updated May 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
DYNAMIC PSYCHIATRY PLLC
Practice address
1654 W Reunion Ave Ste 10B
South Jordan, UT 84095-4676
Phone
(406) 404-6815
NPI assigned
Jan 21, 2022
Last updated
May 15, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2026

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

Authorized official

Name
Morgan Contino
Title
Practice Manager
Phone
(801) 349-2480

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X NU Primary

Addresses

Primary practice location

1654 W Reunion Ave Ste 10B
South Jordan, UT 84095-4676

Mailing address

1654 W Reunion Ave Ste 10B
South Jordan, UT 84095-4676
Phone (801) 349-2480

Other practice location 1

3098 W Executive Pkwy Ste 300
Lehi, UT 84043-4911
Phone (385) 644-1138

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221108000708 UT Part B Supplier - Clinic/Group Practice 0840667614 Receives reassigned benefits from 4 practitioners
Practice locations: South Jordan, UT

National Provider Directory

National Provider Directory

Locations

1654 W Reunion Ave
Ste 10B
South Jordan, UT 84095
Phone (801) 349-2480

Practitioners & affiliated clinicians

Practitioners 11

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": "1642723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778803200000",
    "number": "1679225536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1654 W REUNION AVE STE 10B",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840954676",
            "telephone_number": "801-349-2480",
            "fax_number": "801-363-4885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1654 W REUNION AVE STE 10B",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840954676",
            "telephone_number": "406-404-6815"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3098 W Executive Pkwy Ste 300",
            "address_purpose": "LOCATION",
            "city": "Lehi",
            "state": "UT",
            "postal_code": "840434911",
            "country_code": "US",
            "telephone_number": "385-644-1138",
            "fax_number": "385-900-1671",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DYNAMIC PSYCHIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-21",
        "last_updated": "2026-05-15",
        "certification_date": "2026-05-15",
        "status": "A",
        "authorized_official_last_name": "CONTINO",
        "authorized_official_first_name": "MORGAN",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "801-349-2480"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Jordan, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.