Organization Active NPI

Michelle D. Smith LLC

Doing business as Peak Psychiatry

  • Psychiatry Physician
  • Pleasant Grove, UT
National Provider Identifier
1912642653
Registry record updated Apr 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
MICHELLE D. SMITH LLC
Doing business as
Peak Psychiatry
Practice address
519 W State Rd Ste 104
Pleasant Grove, UT 84062-2158
Phone
(385) 273-7325
Fax
(949) 209-5489
NPI assigned
Apr 27, 2022
Last updated
Apr 27, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2022

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

Authorized official

Name
Michelle D. Smith, PMHNP-BCNPI 1538234158
Title
Owner/Founder
Phone
(385) 273-7325

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

519 W State Rd Ste 104
Pleasant Grove, UT 84062-2158

Mailing address

519 W State Rd Ste 104
Pleasant Grove, UT 84062-2158
Phone (385) 273-7325

Other names 1

  • Peak Psychiatry Doing business as

National Provider Directory

National Provider Directory

Locations

519 W State Rd
Ste 104
Pleasant Grove, UT 84062
Phone (385) 273-7325

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1651017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651017600000",
    "number": "1912642653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 W STATE RD STE 104",
            "city": "PLEASANT GROVE",
            "state": "UT",
            "postal_code": "840622158",
            "telephone_number": "385-273-7325",
            "fax_number": "949-209-5489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 W STATE RD STE 104",
            "city": "PLEASANT GROVE",
            "state": "UT",
            "postal_code": "840622158",
            "telephone_number": "385-273-7325",
            "fax_number": "949-209-5489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELLE D. SMITH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-27",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER/FOUNDER",
        "authorized_official_telephone_number": "385-273-7325",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peak Psychiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pleasant Grove, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2022; 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.