Neurvana Psychiatry & Wellness

Primary specialty

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

Legal business name

NEURVANA PSYCHIATRY & WELLNESS

Practice address

10655 S Grandville Ave Unit 1325
South Jordan, UT 84009-1854

Phone

(385) 329-7410

NPI assigned

Jan 5, 2026

Last updated

Aug 11, 2026By 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

Allison Lynne Bonham, PMHNP-BCNPI 1295529253

Title

Owner

Phone

(385) 329-7410

Specialties & licenses 1

Addresses

Tax ID family

Neurvana Psychiatry Wellness2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Neurvana Psychiatry & Wellness

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • West Jordan, UT
  • NPI 1457216335
  NPD tax ID

Practitioners 1

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.

• Allison Lynne Bonham

  • Psychiatric/Mental Health Nurse Practitioner
  • Salt Lake City, UT
  • NPI 1295529253
  NPD Authorized official

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

{
    "created_epoch": "1767571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786406400000",
    "number": "1861358756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 W BROADWAY STE 333",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841012027",
            "telephone_number": "385-329-7410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10655 S GRANDVILLE AVE UNIT 1325",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840091854",
            "telephone_number": "385-329-7410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEURVANA PSYCHIATRY & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-05",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A",
        "authorized_official_last_name": "BONHAM",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_middle_name": "LYNNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "385-329-7410",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Makayla Nelson
• Paige Nelson, PA-C
• Rissely Nelson
• Neurobolic Health Center
• Neurohealth
• Lori Christine Newbold
• Kimberly Sue Newman, LCSW
• Meghan Chandell Newman, DNP
• Misty June Newman, CMHC
• Madison Porter Newton, PA-C

• Mental Health Clinic/Center (Including Community Mental Health Center) in South Jordan, UT
• Providers in South Jordan, 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 Aug 11, 2026; 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.