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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QE0002X |
Clinic/Center Specialization: Emergency Care |
Ambulatory Health Care Facilities |
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 |
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 |
Street Address |
750 N FREEDOM BLVD |
City | PROVO |
State | UT |
Zip Code | 84601-1677 |
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 |
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 Code | 261QE0002X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Emergency Care |
Definition to come... |
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 |
Please comment or provide details below to improve the information on WASATCH MENTAL HEALTH.
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.