Ampelis Health at Mindful Medical
Organization Active NPI Psychiatry Physician · South Ogden, UT
NPI 1942936091 · NPPES record last updated Dec 19, 2024
Key facts
- NPI
- 1942936091
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatry Physician 2084P0800X
- Legal business name
- AMPELIS HEALTH AT MINDFUL MEDICAL
- Practice address
- 1525 E 6000 S
South Ogden, UT 84405-7144 - Phone
- (801) 337-5854
- NPI assigned
- Jul 29, 2022
- Organization subpart
- No
Authorized official
- Name
- Justin Weeks
- Title
- Partner
- Phone
- (801) 391-6660
Practitioners 3
-
Marysa Chieko Anderson-Cardwell, MS, RDN, LD
-
Shane Emeron Carter, PMHNP, APRN
-
Hannah Farnworth, LMFT
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician |
2084P0800X | Yes |
Addresses
Primary practice location
1525 E 6000 S
South Ogden, UT 84405-7144
Mailing address
10290 N North County Blvd Ste 102
Highland, UT 84003-8973
Phone (435) 776-5909
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | ampelishealth.com |
Other providers in South Ogden, UT
- Jessika Allen
- O. Kent Allen
- Scott Allen
- Eliza Alvey
- Kessia Amaya Camacho
- Derek Andersen
- Aidrey Anderson
- Christopher K Anderson
- Kayla Anderson
- Amy Carol Andrews
All providers in South Ogden, UT · Psychiatry Physician in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 19, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.