NPIMap

Organization Active NPI

Neurohealth

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • South Jordan, UT
National Provider Identifier
1831891316
Registry record updated Apr 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
NEUROHEALTH
Practice address
10437 S Temple Dr Ste 200
South Jordan, UT 84095-8899
Phone
(385) 464-3151
NPI assigned
Mar 20, 2023
Last updated
Apr 12, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2024

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

Authorized official

Name
Bryan Dean Scott
Title
Managing Member
Phone
(385) 777-9766

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

10437 S Temple Dr Ste 200
South Jordan, UT 84095-8899

Mailing address

9500 S 500 W Ste 205
Sandy, UT 84070-2574
Phone (385) 777-9766

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230825000678 UT Part B Supplier - Clinic/Group Practice 8325401250 Receives reassigned benefits from 7 practitioners
Practice locations: South Jordan, UT

National Provider Directory

National Provider Directory

Locations

9500 S 500 W
Ste 205
Sandy, UT 84070

10437 S Temple Dr
Ste 200
South Jordan, UT 84095
Phone (385) 464-3150

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1679270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712880000000",
    "number": "1831891316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 S 500 W STE 205",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840702574",
            "telephone_number": "385-777-9766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10437 S TEMPLE DR STE 200",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840958899",
            "telephone_number": "385-464-3151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROHEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-20",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "385-777-9766"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Jordan, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2024; 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.

Verify at the official NPI Registry.