TMS Elevated

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

Legal business name

TMS ELEVATED

Practice address

1790 Sun Peak Dr Ste B105
Park City, UT 84098-6625

Phone

(385) 441-3004

Fax

(435) 602-1131

NPI assigned

Jul 14, 2020

Organization subpart

No

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

Authorized official

Name

Melissa Lopez-Larson, MDNPI 1942268446

Title

Owner/Provider

Phone

(385) 441-3004

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Melissa P Lopez-Larson, M.D.

  • Child & Adolescent Psychiatry Physician
  • Independence, OH
  • NPI 1942268446
  NPD (past) Authorized official

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

{
    "created_epoch": "1594684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594684800000",
    "number": "1871101014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1790 SUN PEAK DR STE B105",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840986625",
            "telephone_number": "385-441-3004",
            "fax_number": "435-602-1131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1790 SUN PEAK DR STE B105",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840986625",
            "telephone_number": "385-441-3004",
            "fax_number": "435-602-1131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TMS ELEVATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-14",
        "last_updated": "2020-07-14",
        "certification_date": "2020-07-14",
        "status": "A",
        "authorized_official_last_name": "LOPEZ-LARSON",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "385-441-3004",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marie T Thrasher, APRN
• Thrive Mental Health, LLC
• Jessica J Tidswell, PT, DPT, SCS, ATC
• Jessica Tilson
• Timothy Duerler MD PLLC
• Joseph Tooley Jr., PHARMD, MBA
• Christopher Hill Toone, ATC
• Juan Torres, DPT
• Tracey Dwyer Marriage and Family Therapist Inc.
• Devin Tracey

• Child & Adolescent Psychiatry Physician in Park City, UT
• Providers in Park City, UT by specialty
• Child & Adolescent Psychiatry Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2020; 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.