Organization Active NPI

Solstice Counseling & Wellness

  • Psychologist
  • Heber City, UT
National Provider Identifier
1710227608
Registry record updated May 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
SOLSTICE COUNSELING & WELLNESS
Practice address
722 W 100 S Ste 1
Heber City, UT 84032-3739
Phone
(435) 654-4037
Fax
(435) 654-4077
NPI assigned
Mar 1, 2013
Last updated
May 17, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2013

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

Authorized official

Name
Dr. Shawn Michael Miller, PHDNPI 1861605834
Title
Psychologist
Phone
(435) 654-4037

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

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

Mailing address

722 W 100 S Ste 1
Heber City, UT 84032-3739
Phone (435) 654-4037

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130528000564 UT Part B Supplier - Clinic/Group Practice 8426296724 Receives reassigned benefits from 3 practitioners
Practice locations: Heber City, UT

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 6

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": "1362096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368748800000",
    "number": "1710227608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "722 W 100 S STE 1",
            "city": "HEBER CITY",
            "state": "UT",
            "postal_code": "840323739",
            "telephone_number": "435-654-4037",
            "fax_number": "435-654-4077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "722 W 100 S STE 1",
            "city": "HEBER CITY",
            "state": "UT",
            "postal_code": "840323739",
            "telephone_number": "435-654-4037",
            "fax_number": "435-654-4077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLSTICE COUNSELING & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-01",
        "last_updated": "2013-05-17",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "435-654-4037",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Heber City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2013; 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.