Organization Active NPI

Wasatch TMS LLC

Doing business as Heber Mental Health

  • Psychiatry Physician
  • Heber City, UT
National Provider Identifier
1952178030
Registry record updated Dec 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
WASATCH TMS LLC
Doing business as
Heber Mental Health
Practice address
345 W 600 S Ste 200
Heber City, UT 84032-2284
Phone
(801) 712-3535
NPI assigned
Dec 7, 2023
Last updated
Dec 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2023

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

Authorized official

Name
Benjamin Fogg, MDNPI 1104320902
Title
MD
Phone
(801) 712-2535

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X NU
Psychiatry Physician 2084P0800X NU Primary

Addresses

Primary practice location

345 W 600 S Ste 200
Heber City, UT 84032-2284

Mailing address

345 W 600 S Ste 200
Heber City, UT 84032-2284
Phone (801) 712-3535

Other names 1

  • Heber Mental Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240627002152 UT Part B Supplier - Clinic/Group Practice 8123562428 Receives reassigned benefits from 1 practitioner
Practice locations: Heber City, UT

National Provider Directory

National Provider Directory

Locations

1716 N Highway 40
Ste 101
Heber City, UT 84032
Phone (435) 294-2664

Practitioners & affiliated clinicians

Practitioners 2

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": "1701907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701907200000",
    "number": "1952178030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 W 600 S STE 200",
            "city": "HEBER CITY",
            "state": "UT",
            "postal_code": "840322284",
            "telephone_number": "801-712-3535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 W 600 S STE 200",
            "city": "HEBER CITY",
            "state": "UT",
            "postal_code": "840322284",
            "telephone_number": "801-712-3535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASATCH TMS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-07",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A",
        "authorized_official_last_name": "FOGG",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "801-712-2535",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heber Mental Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Heber City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; 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.