WASATCH MENTAL HEALTH


Address: 750 N Freedom Blvd, Provo, UT 84601-1677
Phone: 8013734760

WASATCH MENTAL HEALTH (NPI# 1245639962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1245639962
Entity Type Organization
Organization Name WASATCH MENTAL HEALTH
Practice Address 750 N Freedom Blvd
Provo
UT 84601-1677
Practice Telephone 8013734760
Enumeration Date 2014-08-19
Last Update Date 2014-08-19
Authorized Official Name SHELBY SMITH (HUMAN SERVICE WORKER)
Authorized Official Telephone 9194347931
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QE0002X Clinic/Center
Specialization: Emergency Care
Ambulatory Health Care Facilities

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1023369493 Wasatch Mental Health Case Management 299 E 900 S, Provo, UT 84606-6107 2012-09-26
1538435045 Wasatch Mental Health Case Management 1127 N 1450 E, Orem, UT 84097 2012-03-29
1003243940 Wasatch Mental Health Clinic/Center 750 N Freedom Blvd, Provo, UT 84601-1677 2013-10-10
1871928267 Wasatch Mental Health Social Worker 750 N Freedom Blvd, Provo, UT 84601-1677 2013-09-05

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities WASATCH MENTAL HEALTH SERVICES SPECIAL SERVICE DISTRICT 750 N Freedom Blvd, Provo, UT 84601-1677

Office Location

Street Address 750 N FREEDOM BLVD
City PROVO
State UT
Zip Code 84601-1677

Providers in the same location

NPI Name Taxonomy Address Enumeration
1679551634 Amy Buehler Social Worker 750 N Freedom Blvd, Provo, UT 84601-1677 2006-01-09
1437750270 Michael Stevenson Case Manager/Care Coordinator 750 N Freedom Blvd, Provo, UT 84601-1677 2020-11-06
1174122683 Alyssa Ketler Case Manager/Care Coordinator 750 N Freedom Blvd, Provo, UT 84601-1677 2020-10-26
1770183261 Kaitlin Buckway Case Manager/Care Coordinator 750 N Freedom Blvd, Provo, UT 84601-1677 2020-10-26
1841899465 Linda Madsen Fifita Student in an Organized Health Care Education/Training Program 750 N Freedom Blvd, Provo, UT 84601-1677 2020-10-23
1427657352 Jessica Ray Clyde Licensed Practical Nurse 750 N Freedom Blvd, Provo, UT 84601-1677 2020-10-21
1134728033 Tyra Tsosie Student in an Organized Health Care Education/Training Program 750 N Freedom Blvd, Provo, UT 84601-1677 2020-10-21
1457950529 Justin Jacobson Student in an Organized Health Care Education/Training Program 750 N Freedom Blvd, Provo, UT 84601-1677 2020-10-20
1881293264 Kurt Louis Candalot Case Manager/Care Coordinator 750 N Freedom Blvd, Provo, UT 84601-1677 2020-10-18
1265030613 Ailaina Nicole Herman Rice Student in an Organized Health Care Education/Training Program 750 N Freedom Blvd, Provo, UT 84601-1677 2020-10-16
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1902378417 1 Assist Care of Utah Valley LLC In Home Supportive Care 180 N University Avenue, Suite 270, Office 213, Provo, UT 84601 2018-12-21
1346723319 Mp Dental LLC Dentist 777 N. 500 W. #204, Proud, UT 84601 2018-09-14
1326530601 Madison Paige Nelson Case Manager/Care Coordinator 750 N Freedom Blvd., Provo, UT 84601 2018-06-03
1245758861 Annette Roylance Case Manager/Care Coordinator 750 North Freedom Boulevard, Suite 300, Provo, UT 84601 2017-09-04
1912422205 Alexandra Mcbride Specialist/Technologist 35 N 300 W #440, Provo, UT 84601 2017-08-07
1932638293 Audrey Clara Clifton Case Manager/Care Coordinator 750 North Freedom Blvd., Provo, UT 84601 2017-06-08
1528514197 Joseph Hyrum Lewis Case Manager/Care Coordinator 750 Freedom Blvd, Provo, UT 84601 2016-09-01
1629427620 Walker Clements Case Manager/Care Coordinator 750 North Freedom Blvd, Provo, UT 84601 2016-06-09
1447611595 Robert Shirley Student in an Organized Health Care Education/Training Program 750 North 200 West, Provo, Ut 84601., Provo, UT 84601 2016-03-17
1700286283 Brelynn Downs Student in an Organized Health Care Education/Training Program 750 North Freedom Blvde, Provo, UT 84601 2014-09-03
Find all providers in zip 84601

Taxonomy Information

Taxonomy Code 261QE0002X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Emergency Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1851915052 Royall Em LLC Clinic/Center 300 N Hospital Dr, Price, UT 84501-4218 2020-06-03
1114121100 San Juan County Hospital Clinic/Center 380 West 100 North, Monticello, UT 84535-0308 2007-06-13
1093834038 Mountain Medical Urgent Care Clinic/Center 127 East Main Street, Suite E, Lehi, UT 84043 2007-03-29

Competitor

Search similar providers

City PROVO
Zip Code 84601

Improve Information

Please comment or provide details below to improve the information on WASATCH MENTAL HEALTH.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches