Brian C Carl PHD PLLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

6900557-2501 Issued in UT

Legal business name

BRIAN C CARL PHD PLLC

Practice address

223 S 700 E
#1
Salt Lake City, UT 84102-2171

Phone

(801) 839-5594

NPI assigned

Aug 19, 2015

Last updated

Aug 19, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Brian C Carl, PHD

Title

Owner

Phone

(801) 839-5594

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1439942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439942400000",
    "number": "1730555129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 S 700 E",
            "address_2": "#1",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841022171",
            "telephone_number": "801-839-5594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 S 700 E",
            "address_2": "#1",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841022171",
            "telephone_number": "801-839-5594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN C CARL PHD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-19",
        "last_updated": "2015-08-19",
        "status": "A",
        "authorized_official_last_name": "CARL",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-839-5594",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "UT",
            "license": "6900557-2501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UT STATE LICENSE",
            "identifier": "6900557-2501",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexandra Brewster, PHARMD
• Melissa Brewster, PHARMD
• Scott Brewster, MD
• Lindsay Milne Brey
• Adam James Bria, MD
• Brian H. Ewell, D.C., P.C.
• Christopher Bricker
• Kira Brickey
• Thomas F. Brickey, D.M.D.
• Amber Bride

• Adult Mental Health Clinic/Center in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Adult Mental Health Clinic/Center in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2015; 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.