Sovegna PLLC

Primary specialty

Addiction Psychiatry PhysicianTaxonomy code 2084P0802X

License

371205-1106 Issued in UT

Legal business name

SOVEGNA PLLC

Practice address

850 E 300 S Ste 1
Salt Lake City, UT 84102-2301

Phone

(385) 429-9808

Fax

(844) 838-8100

NPI assigned

Mar 21, 2018

Last updated

Mar 21, 2018By 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

Susan Wiet, MDNPI 1770597726

Title

Owner

Phone

(801) 915-3698

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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.

• Susan Marie Wiet, M.D.

  • Psychiatry Physician
  • Salt Lake City, UT
  • NPI 1770597726
  Authorized official Same address or phone

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

{
    "created_epoch": "1521590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521590400000",
    "number": "1790289098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 E 300 S STE 1",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841022301",
            "telephone_number": "385-429-9808",
            "fax_number": "844-838-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 E 300 S STE 1",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841022301",
            "telephone_number": "385-429-9808",
            "fax_number": "844-838-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOVEGNA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-21",
        "last_updated": "2018-03-21",
        "status": "A",
        "authorized_official_last_name": "WIET",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-915-3698",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "UT",
            "license": "371205-1106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew William Southwick, MD
• Martha Fern Southwick, NP
• Breck Souvall
• David Souza
• Sarah Souza, MSW
• Ryan Sowell, CSW
• Soyaan Services LLC (Bridge Care Utah)
• Alison Spackman, DNP
• Christian Joseph Spackman
• Sandra Deanne Spackman, MSN, APRN, AGANCP-BC

• Addiction Psychiatry Physician in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Addiction Psychiatry Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.