NPIMap

Organization Active NPI

Intercare LLC

  • Psychiatry Physician
  • Orem, UT
National Provider Identifier
1790077642
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
5756680-1204 Issued in UT
Legal business name
INTERCARE LLC
Practice address
1317 E 750 N
Orem, UT 84097-5480
Phone
(801) 704-5027
Fax
(801) 367-7678
NPI assigned
May 11, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

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

Authorized official

Name
William BunnNPI 1578662508
Title
Owner/Physician
Phone
(801) 704-5027

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
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 5756680-1204 UT Primary

Addresses

Primary practice location

1317 E 750 N
Orem, UT 84097-5480

Mailing address

6694 W. Normandy Way
Highland, UT 84003
Phone (801) 704-5027

Other practice location 1

9035 S 1300 E Ste L
Sandy, UT 84094-3132
Phone (801) 704-5027

Other identifiers 1

IdentifierTypeStateIssuer
DO195129OtherOROREGON MEDICAL LICESNSE

National Provider Directory

National Provider Directory

Locations

881 W State Rd
Ste 140
Pleasant Grove, UT 84062
Phone (801) 386-4142

881 W State Rd
#140429
Pleasant Grv, UT 84062
Phone (801) 404-3528

Practitioners & affiliated clinicians

Practitioners 4

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": "1305072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723420800000",
    "number": "1790077642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6694 W. NORMANDY WAY",
            "city": "HIGHLAND",
            "state": "UT",
            "postal_code": "84003",
            "telephone_number": "801-704-5027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1317 E 750 N",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840975480",
            "telephone_number": "801-704-5027",
            "fax_number": "801-367-7678"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9035 S 1300 E Ste L",
            "address_purpose": "LOCATION",
            "city": "Sandy",
            "state": "UT",
            "postal_code": "840943132",
            "country_code": "US",
            "telephone_number": "801-704-5027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INTERCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-11",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A",
        "authorized_official_last_name": "BUNN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "801-704-5027"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "UT",
            "license": "5756680-1204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OREGON MEDICAL LICESNSE",
            "identifier": "DO195129",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Aug 12, 2024; 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.