Organization Active NPI

Kyunghee Seo K Mental Health Clinic

  • Multi-Specialty Clinic/Center
  • Orem, UT
National Provider Identifier
1750928214
Registry record updated May 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
KYUNGHEE SEO K MENTAL HEALTH CLINIC
Practice address
1160 S State St Ste 160a
Orem, UT 84097-8263
Phone
(801) 602-2645
NPI assigned
Dec 4, 2019
Last updated
May 27, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2020

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

Authorized official

Name
Kyunghee Seo, APRNNPI 1073903100
Title
Ms. K
Phone
(801) 602-2645

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

1160 S State St Ste 160a
Orem, UT 84097-8263

Mailing address

1160 S State St Ste 160a
Orem, UT 84097-8263
Phone (801) 602-2645

Other names 1

  • k mental health clinic Former legal business name

National Provider Directory

National Provider Directory

Locations

1160 S State St
Ste 160A
Orem, UT 84097
Phone (801) 602-2645

Practitioners & affiliated clinicians

Practitioners 1

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": "1575417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590537600000",
    "number": "1750928214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1160 S STATE ST STE 160A",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840978263",
            "telephone_number": "801-602-2645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 S STATE ST STE 160A",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840978263",
            "telephone_number": "801-602-2645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KYUNGHEE SEO K MENTAL HEALTH CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-04",
        "last_updated": "2020-05-27",
        "certification_date": "2020-05-27",
        "status": "A",
        "authorized_official_last_name": "SEO",
        "authorized_official_first_name": "KYUNGHEE",
        "authorized_official_title_or_position": "MS. K",
        "authorized_official_telephone_number": "801-602-2645",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "k mental health clinic",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "k mental health clinic",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Orem, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.