Unified Healing Solutions
Organization Active NPI Psychiatry Physician · Delta, UT
NPI 1831960962 · NPPES record last updated Jan 9, 2024
Key facts
- NPI
- 1831960962
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatry Physician 2084P0800X
- Legal business name
- UNIFIED HEALING SOLUTIONS
- Practice address
- 95 White Sage Ave
Delta, UT 84624-5555 - Phone
- (435) 864-5151
- NPI assigned
- Jan 9, 2024
- Organization subpart
- No
Authorized official
- Name
- Elend Lebaron
- Title
- Authorized Official
- Phone
- (435) 864-5151
Practitioners 5
-
Alex Mageno, MD
-
Daryl Keith Essey, CPCI
-
Megan E Keetch, PA-C
-
Riddhi Patel, PA-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240213003927 | UT | Part B Supplier - Clinic/Group Practice | 0345684742 |
Receives reassigned benefits from 5 practitioners Practice locations: Delta, UT |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician |
2084P0800X | Yes |
Addresses
Primary practice location
95 White Sage Ave
Delta, UT 84624-5555
Mailing address
95 White Sage Ave
Delta, UT 84624-5555
Phone (435) 864-5151
Other names
- Delta Healing Solutions
Other providers in Delta, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 9, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.