NPIMap

Organization Active NPI

Acuity Mental Health Services LLC

  • Clinical Social Worker
  • Holladay, UT
National Provider Identifier
1871390252
Registry record updated Feb 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
ACUITY MENTAL HEALTH SERVICES LLC
Practice address
6120 S Lindsay Lane
Holladay, UT 84121
Phone
(801) 252-5899
NPI assigned
Feb 25, 2025
Last updated
Feb 25, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2025

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

Authorized official

Name
Chad Fullmer
Title
Owner
Phone
(801) 252-5899

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

6120 S Lindsay Lane
Holladay, UT 84121

Mailing address

6120 S Lindsay Lane
Holladay, UT 84121
Phone (801) 252-5899

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250408000482 UT Part B Supplier - Clinic/Group Practice 7719401140 Receives reassigned benefits from 8 practitioners
Practice locations: Holladay, UT

National Provider Directory

National Provider Directory
Tax ID family
Acuity Mental Health Services LLC2 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.

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1740441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740441600000",
    "number": "1871390252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6120 S LINDSAY LANE",
            "city": "HOLLADAY",
            "state": "UT",
            "postal_code": "84121",
            "telephone_number": "801-252-5899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6120 S LINDSAY LANE",
            "city": "HOLLADAY",
            "state": "UT",
            "postal_code": "84121",
            "telephone_number": "801-252-5899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACUITY MENTAL HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-25",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-12",
        "status": "A",
        "authorized_official_last_name": "FULLMER",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-252-5899"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holladay, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.