Active NPI
Lifestyle Mental Health
- Psychiatry Physician
- Provo, UT
National Provider Identifier
1831030147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- LIFESTYLE MENTAL HEALTH
- Practice address
- 333 W 2230 N Ste 225
Provo, UT 84604-6709 - Phone
- (385) 230-7799
- NPI assigned
- Apr 2, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Alex Mageno, MD
- Title
- Owner
- Phone
- (385) 230-7799
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | Primary |
Addresses
Primary practice location
333 W 2230 N Ste 225
Provo, UT 84604-6709
Mailing address
333 W 2230 N Ste 225
Provo, UT 84604-6709
Phone (385) 230-7799
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
333 W 2230 N
Ste 225
Provo, UT 84604
Phone (385) 223-8862
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- Provo, UT
- NPI 1538727284
-
- Psychiatric/Mental Health Nurse Practitioner
- Riverton, UT
- NPI 1396616678
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1775088000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1778025600000",
"number": "1831030147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 W 2230 N STE 225",
"city": "PROVO",
"state": "UT",
"postal_code": "846046709",
"telephone_number": "385-230-7799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 W 2230 N STE 225",
"city": "PROVO",
"state": "UT",
"postal_code": "846046709",
"telephone_number": "385-230-7799"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFESTYLE MENTAL HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2026-04-02",
"last_updated": "2026-05-06",
"certification_date": "2026-05-06",
"status": "A",
"authorized_official_last_name": "MAGENO",
"authorized_official_first_name": "ALEX",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "385-230-7799",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Provo, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.