MR. MICHAEL BRANNON PATRICK (NPI# 1851532410) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851532410 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL BRANNON PATRICK |
| Credential | C.S.W. |
| Practice Address |
660 S 200 E Ste 308 Salt Lake City UT 84111-3853 |
| Practice Telephone | 8013552846 |
| Practice Fax Number | 8013593244 |
| Mailing Telephone | 8013552846 |
| Mailing Fax Number | 8013593244 |
| Enumeration Date | 2009-03-11 |
| Last Update Date | 2009-03-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
7217400-3502 | UT | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932610888 | Michael James Patrick | Massage Therapist | 130 Ridge Ave, Ben Avon, PA 15202-2008 | 2017-10-18 |
| 1538411897 | Michael David Patrick | Occupational Therapy Assistant | 703 Robinson Rd, Jackson, MI 49203-2538 | 2012-10-11 |
| 1427380336 | Michael Patrick | Chiropractor | 2190 Meridian Park Blvd Ste A, Concord, CA 94520-5715 | 2010-02-02 |
| 1215327846 | Michael Richard Patrick | Registered Nurse | 424 Savannah Rd, Lewes, DE 19958-1462 | 2015-02-04 |
| 1114228640 | Michael Patrick | Pharmacist | 1705 S Highway 97, Redmond, OR 97756-9647 | 2010-11-15 |
| 1881731552 | Michael Patrick | Pharmacist | 20200 54th Ave W, Lynnwood, WA 98036-6318 | 2007-01-31 |
| 1629092655 | Michael R Patrick | Anesthesiologist Assistant | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2006-07-26 |
| 1538109038 | Michael K Patrick | Internal Medicine | 1990 Holton Ave E, Big Stone Gap, VA 24219-3350 | 2006-06-07 |
| 1912998352 | Michael D Patrick Jr. | Pediatrics | 700 Childrens Dr, Columbus, OH 43205 | 2005-11-03 |
| Street Address |
660 S 200 E STE 308 |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84111-3853 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922112382 | Julie Barraclough | Counselor | 660 S 200 E Ste 308, Salt Lake City, UT 84111-3853 | 2006-08-19 |
| 1922301183 | Shawna Jean Gillen | Community/Behavioral Health | 660 S 200 E Ste 308, Salt Lake City, UT 84111-3853 | 2010-12-09 |
| 1427350933 | Volunteers of America | Community/Behavioral Health | 660 S 200 E Ste 308, Salt Lake City, UT 84111-3853 | 2010-12-03 |
| 1770890139 | Tanya Lewellen Ray | Counselor | 660 S 200 E Ste 308, Salt Lake City, UT 84111-3853 | 2010-09-07 |
| 1164759056 | Robert Wolfgang Wesemann | Counselor | 660 S 200 E Ste 308, Salt Lake City, UT 84111-3853 | 2009-11-12 |
| 1184951154 | Laura Elizabeth Wegener | Social Worker | 660 S 200 E Ste 308, Salt Lake City, UT 84111-3853 | 2009-11-11 |
| 1881929917 | Sunny Strasburg | Marriage & Family Therapist | 660 S 200 E Ste 308, Salt Lake City, UT 84111-3853 | 2009-10-07 |
| 1649415787 | Rachel Elizabeth Shelley | Social Worker | 660 S 200 E Ste 308, Salt Lake City, UT 84111-3853 | 2008-12-03 |
| 1255582102 | Raquel R Cook | Counselor | 660 S 200 E Ste 308, Salt Lake City, UT 84111-3853 | 2008-10-08 |
| 1245493238 | David M Hildt | Marriage & Family Therapist | 660 S 200 E Ste 308, Salt Lake City, UT 84111-3853 | 2008-07-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316551336 | Mary Ann Rush | Case Manager/Care Coordinator | 334 E. 100 S., Slc, UT 84111 | 2020-09-08 |
| 1790396554 | Stephanie G Mishenko | Military Health Care Provider | 344e 100s, Slc, UT 84111 | 2020-08-13 |
| 1386264802 | Mckensee M Carter | Case Manager/Care Coordinator | 334 E 100 S, Salt Lake City, UT 84111 | 2020-04-24 |
| 1316421761 | Community Health Centers, Inc. | Social Worker | 610 S 200 E Ste #b, Salt Lake City, UT 84111 | 2018-09-21 |
| 1528545506 | Lauren Brittney Harman | Case Manager/Care Coordinator | 344 E. 100 S., Salt Lake City, UT 84111 | 2018-07-23 |
| 1851896484 | Shivani Chowdhary | Dentist | 370 E South Temple Ste 350, Salt Lake City, UT 84111 | 2018-03-26 |
| 1801390661 | Jaylee Marie Watman | Case Manager/Care Coordinator | 344 E. 100 S. Ste 301, Salt Lake City, UT 84111 | 2018-03-19 |
| 1467963918 | Victoira Julia Graham | Case Management | 344 East 100 South Ste 301, Salt Lake City, UT 84111 | 2017-10-23 |
| 1750805404 | Kayla Hymas | Behavioral Analyst | 243 E. 400 S., Slc, UT 84111 | 2017-08-02 |
| 1134643224 | Julie Peaslee | Counselor | 275 E South Temple Ste 110, Salt Lake City, UT 84111 | 2017-07-31 |
| Find all providers in zip 84111 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063995538 | Latino Behavioral Health Services | Counselor | 3471 S West Temple, Salt Lake City, UT 84115-4338 | 2018-09-11 |
| 1891299012 | Sherrie Lynn Bolton | Counselor | 2001 S State St # S2-300, Salt Lake City, UT 84190-0001 | 2018-03-21 |
| 1215273529 | Holly H Tanski | Counselor | 5770 S. 1500 W. Bld A, Ihc Wasatch Canyons Campus, Salt Lake City, UT 84119 | 2012-12-14 |
| 1538415138 | Dominic Falsone | Counselor | 3846 Villa Dr, Salt Lake City, UT 84109 | 2012-08-01 |
| 1083976690 | Karen Lenore Stovall | Counselor | 2200 S State St, Salt Lake City, UT 84115-2724 | 2012-06-10 |
| 1407124662 | Daniel Wallace Powell | Counselor | 655 S State St, Salt Lake City, UT 84111-3819 | 2011-12-02 |
| 1902102858 | Annette Milner | Counselor | 2558 S 900 E Ste B, Salt Lake City, UT 84106-2239 | 2011-02-09 |
| 1235434291 | Cody Feda | Counselor | 344 East 100 South, Salt Lake City, UT 84111 | 2011-01-21 |
| 1841593266 | Edward Henry Snoddy | Counselor | 415 W 400 S, Salt Lake City, UT 84101-1135 | 2010-12-07 |
| 1114227766 | Rebecca Jo Breiman | Counselor | 514 Wilson Ave, Salt Lake City, UT 84105-2912 | 2010-10-29 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84111 |
Please comment or provide details below to improve the information on MR. MICHAEL BRANNON PATRICK.
| 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.