WASATCH FRONT WELLNESS, PLLC (NPI# 1023627759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023627759 |
| Entity Type | Organization |
| Organization Name | WASATCH FRONT WELLNESS, PLLC |
| Practice Address |
940 N 400 E Ste 3 North Salt Lake UT 84054-1945 |
| Practice Telephone | 3852440055 |
| Practice Fax Number | 3852402065 |
| Mailing Telephone | 3852440055 |
| Mailing Fax Number | 3852402065 |
| Enumeration Date | 2020-07-29 |
| Last Update Date | 2020-07-29 |
| Authorized Official Name | TARA SHARIFAN (PSYCHOLOGIST, FOUNDER) |
| Authorized Official Telephone | 3852440055 |
| Authorized Official Credential | PSYD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Street Address |
940 N 400 E STE 3 |
| City | NORTH SALT LAKE |
| State | UT |
| Zip Code | 84054-1945 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801307962 | Melou Stewart Cline | Music Therapist | 1130 Eaglewood Loop, North Salt Lake, UT 84054 | 2017-10-17 |
| 1083157382 | Badger Management LLC | Pharmacy | 725 N Redwood Road, N Salt Lake, UT 84054 | 2016-11-18 |
| 1790161495 | Clayton Brimhall | Social Worker | 951 South Silvertree Lane, North Salt Lake, UT 84054 | 2015-08-04 |
| 1124423215 | Orbit Onsite Care Clinic | Internal Medicine | 845 North Overland Rd., North Salt Lake, UT 84054 | 2014-10-31 |
| 1972865244 | Ray A Dumas | Community/Behavioral Health | 144 S. 300 E., North Salt Lake City, UT 84054 | 2012-06-13 |
| 1699060624 | Jeanne Marie Chadwick | Massage Therapist | 955 Elizabeth Dr., Nsl, UT 84054 | 2011-06-17 |
| 1447368634 | Wendy Louise Wolfe | Speech-Language Pathologist | 774 East Independence Way, North Salt Lake City, UT 84054 | 2006-08-28 |
| 1558603209 | Thomas Alan Duernberger | Pharmacist | 669 W 900 N, North Salt Lake, UT 84054 | 2013-03-20 |
| 1710493283 | Danielle Jeanne Merritt | Behavioral Analyst | 919 Callie Ct, North Salt Lake, UT 84054-0165 | 2017-12-20 |
| 1326503053 | Elevation Behavioral Science Services, Pllc | Community/Behavioral Health | 919 Callie Ct, North Salt Lake, UT 84054-0165 | 2019-02-06 |
| Find all providers in zip 84054 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205433059 | Steven Lucero | Psychologist | 93 S 1250 E, Logan, UT 84321-6770 | 2020-10-05 |
| 1376165530 | Kirsten Leigh Graham | Psychologist | 351 W University Blvdgeneral Classrooms 308-o, General Classrooms 308-o, Cedar City, UT 84720 | 2020-05-11 |
| 1467073833 | Realign Psychology LLC | Psychologist | 1042 E Fort Union Blvd, #1085, Midvale, UT 84047-1800 | 2020-04-27 |
| 1508404344 | Rith Counseling and Assessment Pllc | Psychologist | 10432 S 4000 W, South Jordan, UT 84009-5729 | 2019-12-11 |
| 1780230433 | Carolynne Elizabeth Baron | Psychologist | Va Salt Lake City Healthcare System 500 Foothill Drive, Salt Lake City, UT 84148-0001 | 2019-08-16 |
| 1255999637 | Thomas Golightly | Psychologist | 1500 Wsc Byu, Provo, UT 84602 | 2019-05-31 |
| 1639732571 | Scott A Baldwin | Psychologist | 1190 N 900 E Ofc 285, Provo, UT 84604-3536 | 2019-04-16 |
| 1407311087 | Hiu Wai Caldwell | Psychologist | 796 E. Pacific Drive Suite B, American Fork, UT 84003-8400 | 2019-02-07 |
| 1992273734 | Tracy Ellis | Psychologist | 70 N Main St Ste 104, Bountiful, UT 84010-6115 | 2018-11-09 |
| 1770069981 | Vanessa Blair Watts | Psychologist | 1740 Combe Rd Ste 5, Ogden, UT 84403-5094 | 2018-07-11 |
| Find all providers with the same taxonomy | ||||
| City | NORTH SALT LAKE |
| Zip Code | 84054 |
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| 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.