MICHAEL SHELEKHOV PMHNP-BC NPI 1235637125

NPI Information

  • NPI: 1235637125
  • Provider Name: MICHAEL SHELEKHOV, PMHNP-BC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • Address: 14425 S BITTERBRUSH LN
    DRAPER, UT
    ZIP 84020
  • Phone: (801) 576-7000

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NPI Details

Michael Shelekhov, PMHNP-BC is a psychiatric/mental health nurse practitioner in Draper, UT. Michael Shelekhov, PMHNP-BC NPI is 1235637125. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

14425 S BITTERBRUSH LN
DRAPER, UT
ZIP 84020
Phone: (801) 576-7000

The enumeration date for this NPI number is 1/25/2018 and was last updated on 11/18/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163W00000XRegistered Nurse041375125ILLINOISNo
2163W00000XRegistered Nurse6381032-3102UTAHNo
3363L00000XNurse Practitioner209.017270ILLINOISNo
4363LP0808XNurse PractitionerPsychiatric/Mental Health6381032-4405UTAHYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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