Insaneability

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

INSANEABILITY

Doing business as

Insane Ability

Practice address

2013 E Fielding Hill LN
Draper, UT 84020-2505

Phone

(801) 413-9596

NPI assigned

Sep 24, 2019

Last updated

Oct 2, 2019By 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

Serena Millet

Title

Founder

Phone

(801) 413-9596

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Insane Ability Doing business as

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

{
    "created_epoch": "1569283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569974400000",
    "number": "1811548589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2013 E FIELDING HILL LN",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840202505",
            "telephone_number": "801-413-9596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2013 E FIELDING HILL LN",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840202505",
            "telephone_number": "801-413-9596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSANEABILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-24",
        "last_updated": "2019-10-02",
        "status": "A",
        "authorized_official_last_name": "MILLET",
        "authorized_official_first_name": "SERENA",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "801-413-9596"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "176525875",
            "state": "UT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20191002562160",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Insane Ability",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Insane Ability",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Draper, UT
• Providers in Draper, UT by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2019; 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.