NPIMap

Organization Active NPI

Wellcon, Inc.

  • Forensic Psychiatry Physician
  • South Salt Lake, UT
National Provider Identifier
1750989349
Registry record updated Oct 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Forensic Psychiatry PhysicianTaxonomy code 2084F0202X
Legal business name
WELLCON, INC.
Practice address
3415 S 900 W
South Salt Lake, UT 84119-4103
Phone
(801) 918-3692
NPI assigned
Oct 15, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2020

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

Authorized official

Name
Dr. Todd R Wilcox, MDNPI 1861428856
Title
Ceo
Phone
(801) 918-3692

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
Forensic Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084F0202X Primary

Addresses

Primary practice location

3415 S 900 W
South Salt Lake, UT 84119-4103

Mailing address

2263 E Cottonwood Cir
Salt Lake City, UT 84117-7601
Phone (801) 918-3692

National Provider Directory

National Provider Directory

Locations

3415 S 900 W
South Salt Lake, UT 84119
Phone (385) 468-8400

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1602720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602720000000",
    "number": "1750989349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2263 E COTTONWOOD CIR",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841177601",
            "telephone_number": "801-918-3692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3415 S 900 W",
            "city": "SOUTH SALT LAKE",
            "state": "UT",
            "postal_code": "841194103",
            "telephone_number": "801-918-3692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLCON, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-15",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-15",
        "status": "A",
        "authorized_official_last_name": "WILCOX",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "801-918-3692",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084F0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Forensic Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Salt Lake, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.