Organization Active NPI

Mind and Body Integrative Healing Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Taylorsville, UT
National Provider Identifier
1932738028
Registry record updated Dec 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
MIND AND BODY INTEGRATIVE HEALING CENTER
Doing business as
Integrative Healing Centers of Utah
Practice address
2860 W 4700 S Ste B
Taylorsville, UT 84129-2159
Phone
(385) 347-5976
Fax
(801) 905-1258
NPI assigned
Apr 2, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2021

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

Authorized official

Name
James Wattson McClure
Title
Owner Partner
Phone
(801) 590-8129

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

2860 W 4700 S Ste B
Taylorsville, UT 84129-2159

Mailing address

1935 W 4700 S Ste 330
Taylorsville, UT 84129-1105
Phone (385) 347-5976

Other names 1

  • Integrative Healing Centers of Utah Doing business as

National Provider Directory

National Provider Directory

Locations

2860 W 4700 S
Ste B
Taylorsville, UT 84129
Phone (385) 347-5976

NPI Registry JSON

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

{
    "created_epoch": "1585785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639440000000",
    "number": "1932738028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1935 W 4700 S STE 330",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "841291105",
            "telephone_number": "385-347-5976",
            "fax_number": "801-905-1258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2860 W 4700 S STE B",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "841292159",
            "telephone_number": "385-347-5976",
            "fax_number": "801-905-1258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND AND BODY INTEGRATIVE HEALING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-02",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A",
        "authorized_official_last_name": "MCCLURE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "WATTSON",
        "authorized_official_title_or_position": "OWNER PARTNER",
        "authorized_official_telephone_number": "801-590-8129"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Integrative Healing Centers of Utah",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Taylorsville, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2021; 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.