Organization Active NPI

NG Wellness

  • Community/Behavioral Health Agency
  • Ogden, UT
National Provider Identifier
1972188605
Registry record updated Dec 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
NG WELLNESS
Practice address
1531 Douglas St
Ogden, UT 84404-6830
Phone
(180) 164-5176
Fax
(801) 675-5305
NPI assigned
Mar 15, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2023

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

Authorized official

Name
Melissa Natalie GallegosNPI 1518150648
Title
Owner
Phone
(801) 645-1764

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1531 Douglas St
Ogden, UT 84404-6830

Mailing address

1531 Douglas St
Ogden, UT 84404-6830
Phone (801) 645-1763

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210423001226 UT Part B Supplier - Clinic/Group Practice 8426466897 Receives reassigned benefits from 1 practitioner
Practice locations: Ogden, UT

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1615766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702857600000",
    "number": "1972188605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1531 DOUGLAS ST",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844046830",
            "telephone_number": "801-645-1763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1531 DOUGLAS ST",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844046830",
            "telephone_number": "180-164-5176",
            "fax_number": "801-675-5305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NG WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-15",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-18",
        "status": "A",
        "authorized_official_last_name": "GALLEGOS",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "NATALIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-645-1764"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ogden, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.