Integrative Health and Wellness LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

INTEGRATIVE HEALTH AND WELLNESS LLC

Practice address

2666 S 2000 E Ste 101
Salt Lake City, UT 84109-1721

Phone

(801) 631-9363

Fax

(801) 855-7998

NPI assigned

Jul 14, 2019

Organization subpart

No

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

Authorized official

Name

Emily Van Os, PMHNP-BC, FNP-CNPI 1437406329

Title

Nurse Practitioner

Phone

(801) 691-7064

Specialties & licenses 1

Addresses

Other names 1

• Integrative Mental Health and Wellness Doing business as

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Emily Kristen Van Os, PMHNP-BC, FNP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Holladay, UT
  • NPI 1437406329
  NPD Authorized official

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

{
    "created_epoch": "1563062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603411200000",
    "number": "1972155539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2666 S 2000 E STE 101",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841091721",
            "telephone_number": "801-691-7064",
            "fax_number": "801-855-7998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2666 S 2000 E STE 101",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841091721",
            "telephone_number": "801-631-9363",
            "fax_number": "801-855-7998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE HEALTH AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-14",
        "last_updated": "2020-10-23",
        "certification_date": "2020-10-23",
        "status": "A",
        "authorized_official_last_name": "VAN OS",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "801-691-7064",
        "authorized_official_credential": "PMHNP-BC, FNP-C"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "emilyvanos@therapyemail.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "address_1": "2666 S 2000 E Ste 101",
            "city": "Salt Lake City",
            "state": "UT",
            "country_code": "US",
            "postal_code": "841091721",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Integrative Mental Health and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Providers in Salt Lake City, UT by specialty
• Psychiatric/Mental Health Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2020; 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.