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WASATCH MENTAL HEALTH
NPI 1003243940
Clinic/Center - Adolescent and Children Mental Health in Provo, UT

Active since October 10, 2013
750 N FREEDOM BLVD, PROVO, UT 84601(801) 373-4760 Get Directions Write a Review

NPPES record last updated: October 10, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wasatch Mental Health NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WASATCH MENTAL HEALTH (NPI 1003243940) is a healthcare organization registered as an adolescent and children mental health in Provo, Utah and active in the NPI registry since October 2013. The organization lists Kyle Bringhurst, Management Director, as its authorized official.

NPPES Registry Identity

NPI1003243940
Entity TypeOrganization
Primary Taxonomy261QM0855X
Legal Business NameWASATCH MENTAL HEALTH
Location Address750 N FREEDOM BLVDProvo, UT 84601-1677
Mailing Address760 N 800 E, #102Provo, UT 84606-6915 · (801) 694-9228
Phone(801) 373-4760
Organization SubpartNo
Authorized OfficialKyle BringhurstManagement Director · (801) 310-4903
Enumeration DateOctober 10, 2013
✔ NPI 1003243940 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adolescent and Children Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0855X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
750 N FREEDOM BLVD, Provo, UT 84601
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELIZA RACHELLE GEDGE PH.D., LP
Psychologist (Clinical)
750 N FREEDOM BLVD
PROVO, UT 84601
Utah County (801) 373-0639
JUSTINE CADAYONG EGGLESTON
Social Worker (Clinical)
750 N FREEDOM BLVD
PROVO, UT 84601
Utah County (801) 373-4760
SARAH FARIA
Case Manager/Care Coordinator
750 N FREEDOM BLVD
PROVO, UT 84601
Utah County (801) 373-4760
MEGAN NICHOLS
Case Manager/Care Coordinator
750 N FREEDOM BLVD
PROVO, UT 84601
Utah County (801) 373-4760
VICTORIA RYALS
Student in an Organized Health Care Education/Training Program
750 N FREEDOM BLVD
PROVO, UT 84601
Utah County (801) 373-4760
KAMERYA HANOHANO
Peer Specialist
750 N FREEDOM BLVD
PROVO, UT 84601
Utah County (801) 373-4760
ALLISON RAMIREZ
Peer Specialist
750 N FREEDOM BLVD
PROVO, UT 84601
Utah County (801) 373-4760
DAVID SKILES CMHC
Counselor (Mental Health)
750 N FREEDOM BLVD
PROVO, UT 84601
Utah County (801) 373-4760

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wasatch Mental Health's NPI number?

The NPI number for Wasatch Mental Health is 1003243940. It was assigned to this organization in the NPPES registry on October 10, 2013.

Where is Wasatch Mental Health located?

Wasatch Mental Health is located at 750 N Freedom Blvd, Provo, UT 84601. The listed phone number is (801) 373-4760.

What is Wasatch Mental Health's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

When was this NPI record last updated?

The NPPES record for Wasatch Mental Health was last updated on October 10, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.