Mindbloom Evaluation & Consultation

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

MINDBLOOM EVALUATION & CONSULTATION

Doing business as

MindBloom Evaluations & Consultation

Practice address

4848 W Thrush Hill Dr Ste 270
West Jordan, UT 84081-4126

Phone

(801) 755-9196

NPI assigned

Aug 21, 2025

Organization subpart

No

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

Authorized official

Name

Taryn Nicksic-Springer, PHD, BCBA-DNPI 1558550046

Title

Owner

Phone

(801) 755-9196

Specialties & licenses 1

Addresses

Other names 1

• MindBloom Evaluations & Consultation Doing business as

Practitioners 1

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

• Taryn Kathleen Nicksic-Springer, PHD

  • Psychologist
  • SLC, UT
  • NPI 1558550046
  NPD Authorized official

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

{
    "created_epoch": "1755734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755734400000",
    "number": "1801774641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4848 W THRUSH HILL DR STE 270",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840814126",
            "telephone_number": "801-755-9196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4848 W THRUSH HILL DR STE 270",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840814126",
            "telephone_number": "801-755-9196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDBLOOM EVALUATION & CONSULTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-21",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A",
        "authorized_official_last_name": "NICKSIC-SPRINGER",
        "authorized_official_first_name": "TARYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-755-9196",
        "authorized_official_credential": "PHD, BCBA-D"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MindBloom Evaluations & Consultation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chelsey Miller, FNP-C
• Jeanne Derrick Miller
• Kailey Millet
• Abigail Milovich Chamberlain
• Steven Mimnaugh, MD
• Audrey Marie Miner, NBC-HWC
• Minuteclinic Diagnostic of Utah, LLC
• Minuteclinic Diagnostic of Utah, LLC
• Minuteclinic Diagnostic of Utah, LLC
• Libby Mitchell

• Psychologist in West Jordan, UT
• Providers in West Jordan, UT by specialty
• Psychologist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2025; 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.