Organization Active NPI

Sage Meadows Mental Health PLLC

  • Psychiatry Physician
  • Salt Lake City, UT
National Provider Identifier
1750217402
Registry record updated Jun 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
SAGE MEADOWS MENTAL HEALTH PLLC
Practice address
10 W Broadway Ste 700
Salt Lake City, UT 84101-2060
Phone
(801) 876-5634
Fax
(801) 907-7323
NPI assigned
Jun 22, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2026

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

Authorized official

Name
Mrs. Erica Chustz, PA-C
Title
Owner/ Provider
Phone
(801) 876-5634

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

10 W Broadway Ste 700
Salt Lake City, UT 84101-2060

Mailing address

9212 Fox Run Ave
Baton Rouge, LA 70808-8107
Phone (225) 276-0144

National Provider Directory

National Provider Directory

Locations

10 W Broadway
Ste 700
Salt Lake City, UT 84101
Phone (201) 994-6183

NPI Registry JSON

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

{
    "created_epoch": "1782086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782086400000",
    "number": "1750217402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9212 FOX RUN AVE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708088107",
            "telephone_number": "225-276-0144",
            "fax_number": "801-907-7323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 W BROADWAY STE 700",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841012060",
            "telephone_number": "801-876-5634",
            "fax_number": "801-907-7323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGE MEADOWS MENTAL HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-22",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-21",
        "status": "A",
        "authorized_official_last_name": "CHUSTZ",
        "authorized_official_first_name": "ERICA",
        "authorized_official_title_or_position": "OWNER/ PROVIDER",
        "authorized_official_telephone_number": "801-876-5634",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2026; 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.