South County Psychiatric Clinic Inc

Primary specialty

Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X

License

146051-1205 Issued in UT

Legal business name

SOUTH COUNTY PSYCHIATRIC CLINIC INC

Practice address

39 Professional Way Ste 2
Payson, UT 84651-1677

Phone

(801) 465-2035

NPI assigned

Oct 7, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Philip Washburn, M.D.

Title

General Psychiatrist

Phone

(801) 465-2035

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1286409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286409600000",
    "number": "1962711077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 PROFESSIONAL WAY #2",
            "city": "PAYSON",
            "state": "UT",
            "postal_code": "84651",
            "telephone_number": "801-465-2035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 PROFESSIONAL WAY STE 2",
            "city": "PAYSON",
            "state": "UT",
            "postal_code": "846511677",
            "telephone_number": "801-465-2035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH COUNTY PSYCHIATRIC CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-07",
        "last_updated": "2010-10-07",
        "status": "A",
        "authorized_official_last_name": "WASHBURN",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "GENERAL PSYCHIATRIST",
        "authorized_official_telephone_number": "801-465-2035",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "UT",
            "license": "146051-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Steven Smith
• Victoria Smith
• Smiths Food & Drug Centers Inc
• Marilyn Sorensen, FNP
• Jacob Dylan Sorenson
• South Payson Medical Clinic
• South Valley Physical Therapy Inc.
• Southwestern Obstetrics & Gynecology P C
• SRS-Payson, LLC
• Ashley Bophany Steadman, CRNA

• Geriatric Psychiatry Physician in Payson, UT
• Providers in Payson, UT by specialty
• Geriatric Psychiatry Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2010; 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.