Active NPI
John Patrick Byrne, LCSW
- Clinical Social Worker
- Tooele, UT
National Provider Identifier
1982674495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 135723-3501
- Practice address
- 100 S 1000 W
Tooele, UT 84074-4010 - Phone
- (435) 843-3520
- NPI assigned
- Jan 25, 2006
- Last updated
- Mar 17, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 135723-3501 | UT | Primary |
Addresses
Primary practice location
100 S 1000 W
Tooele, UT 84074-4010
Mailing address
100 S 1000 W
Tooele, UT 84074-4010
Phone (435) 843-0877
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 35510 | Other | UT | DESERET MUTUAL |
| 107002316101 | Other | UT | INTERMOUNTAIN HEALTH CARE |
| 942938348006 | Other | UT | CHAMPUS |
| 942938348BY1 | Other | UT | EDUCATORS MUTUAL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 135723-3501 | UT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Mental Health Incorporated | Clinical | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205712000000",
"number": "1982674495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 S 1000 W",
"city": "TOOELE",
"state": "UT",
"postal_code": "840744010",
"telephone_number": "435-843-0877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 S 1000 W",
"city": "TOOELE",
"state": "UT",
"postal_code": "840744010",
"telephone_number": "435-843-3520"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BYRNE",
"first_name": "JOHN",
"middle_name": "PATRICK",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-25",
"last_updated": "2008-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "UT",
"license": "135723-3501",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DESERET MUTUAL",
"identifier": "35510",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INTERMOUNTAIN HEALTH CARE",
"identifier": "107002316101",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS",
"identifier": "942938348006",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EDUCATORS MUTUAL",
"identifier": "942938348BY1",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tooele, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.