SALT LAKE PSYCHIATRY AND WELLNESS PLLC NPI 1699481168

NPI Information

NPI: 1699481168
Provider Name: SALT LAKE PSYCHIATRY AND WELLNESS, PLLC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
780 S 2000 W STE 105
SYRACUSE, UT
ZIP 84075
Phone: (801) 332-9201
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SALT LAKE PSYCHIATRY AND WELLNESS, PLLC is a psychiatric/mental health nurse practitioner in Syracuse, UT. SALT LAKE PSYCHIATRY AND WELLNESS, PLLC NPI is 1699481168. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

780 S 2000 W STE 105
SYRACUSE, UT
ZIP 84075-602
Phone: (801) 332-9201

The provider's authorized official is Colin Andrew Riley .
The authorized official title is Doctor and has the following contact phone number (801) 332-9201.

The enumeration date for this NPI number is 1/27/2023 and was last updated on 1/27/2023.

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
1	1041C0700X	Social Worker	Clinical			No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	U000111257	MEDICAID	UTAH

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: 4/28/2024

NPI Synchronization or Removal

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