Michael Owen Measom, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

264307-1205 Issued in UT

Practice address

265 E 100 S Ste 250
SLC, UT 84111-1643

Phone

(801) 483-2447

Fax

(801) 486-8705

NPI assigned

Dec 30, 2005

Sex

Male

Sole proprietor

No

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: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

PsychiatryAlso: Addiction Medicine

Education

University of Utah School of Medicine, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Center for Human Potential IncGroup PAC ID 0749247849, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Center for Human Potential Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Salt Lake City, UT
  • NPI 1548239940
  Medicare reassignment Care Compare group NPD
• Ad Psychotherapy and Clinical Consulting Inc.

  • Community/Behavioral Health Agency
  • Sandy, UT
  • NPI 1689899171
  Medicare reassignment NPD
• Center for Human Potential

  • Community/Behavioral Health Agency
  • Salt Lake City, UT
  • NPI 1366679441
  NPD
• Hilltop Medical Clinic, LLC

  • Addiction (Substance Use Disorder) Psychologist
  • Cottonwood Heights, UT
  • NPI 1255860250
  NPD (past)
• New Roads Foundation

  • Clinical Social Worker
  • Provo, UT
  • NPI 1669328324
  NPD (past)
• University of Utah Medical Center Psychiatry

  • Psychiatry Physician
  • Salt Lake City, UT
  • NPI 1821024217
  NPD (past)
• Valley Behavioral Health Incorporated

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • West Valley City, UT
  • NPI 1932166980

  Psychiatry

  NPD (past)

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

{
    "created_epoch": "1135900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525910400000",
    "number": "1861479701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 E 100 S STE 250",
            "city": "SLC",
            "state": "UT",
            "postal_code": "841111643",
            "telephone_number": "801-483-2447",
            "fax_number": "801-486-8705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 E 100 S STE 250",
            "city": "SLC",
            "state": "UT",
            "postal_code": "841111643",
            "telephone_number": "801-483-2447",
            "fax_number": "801-486-8705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEASOM",
        "first_name": "MICHAEL",
        "middle_name": "OWEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-30",
        "last_updated": "2018-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "UT",
            "license": "264307-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca McEwan, RBT
• Melissa Michelle McIntyre, DPT
• Jessica Eden McKinlay
• William Martin McMahon, M.D.
• Kate Marie McMinimee
• Holly M Meckley
• Tori Medina
• Grace Mehan, RBT
• Terri Mehlhoff
• Keeley Jean Mendenhall

• Psychiatry Physician in SLC, UT
• Providers in SLC, UT by specialty
• Psychiatry Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2018; 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.