Michael Brannon Patrick, C.S.W.

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

7217400-3502 Issued in UT

Practice address

660 S 200 E Ste 308
Salt Lake City, UT 84111-3853

Phone

(801) 355-2846

Fax

(801) 359-3244

NPI assigned

Mar 11, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2007

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Traverse Family Therapy LLC

  • Clinical Social Worker
  • Alpine, UT
  • NPI 1710820386
  Medicare reassignment NPD Authorized official
• Therapycorp LLC

  • Clinical Social Worker
  • Alpine, UT
  • NPI 1235002494
  NPD Authorized official

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

{
    "created_epoch": "1236729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236729600000",
    "number": "1851532410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 S 200 E STE 308",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841113853",
            "telephone_number": "801-355-2846",
            "fax_number": "801-359-3244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 S 200 E STE 308",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841113853",
            "telephone_number": "801-355-2846",
            "fax_number": "801-359-3244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATRICK",
        "first_name": "MICHAEL",
        "middle_name": "BRANNON",
        "name_prefix": "Mr.",
        "credential": "C.S.W.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-03-11",
        "last_updated": "2009-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "UT",
            "license": "7217400-3502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pathways Upstream, PLLC
• Pathways...a Counseling and Learning Center, Inc.
• Ayesha N. Patil, MD, MPH
• Catherine Jean Patillo, LMT, NCTMB, CHT
• Patricia Bearnson MD PC
• Rachael M Patrick
• Paige Patterick, RPH
• Anna Patterson
• Hannah Lyn Patterson
• Josef Patterson, DC

• Addiction (Substance Use Disorder) Counselor in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Addiction (Substance Use Disorder) Counselor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.