Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

UTAH INTEGRATIVE PSYCHIATRY & ADDICTION MEDICINE
NPI 1023680386
Psychiatry & Neurology - Psychiatry in Provo, UT

Active since July 15, 2021
1055 N 300 W STE 308, PROVO, UT 84604(801) 921-0031(801) 210-5812 Get Directions Write a Review

NPPES record last updated: August 20, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 20, 2026, Jan 6, 2022, Jul 15, 2021 (3 updates tracked since 2021).

About Utah Integrative Psychiatry & Addiction Medicine NPPES

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

UTAH INTEGRATIVE PSYCHIATRY & ADDICTION MEDICINE (NPI 1023680386) is a healthcare organization registered as a psychiatry in Provo, Utah and active in the NPI registry since July 2021. The organization lists Jason Lee Andersen, Owner, as its authorized official.

NPPES Registry Identity

NPI1023680386
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameUTAH INTEGRATIVE PSYCHIATRY & ADDICTION MEDICINE
Location Address1055 N 300 W STE 308Provo, UT 84604-3373
Mailing Address1055 N 300 W Ste 308Provo, UT 84604-3373 · (801) 921-0031 · Fax (801) 210-5812
Fax(801) 210-5812
Organization SubpartNo
Authorized OfficialJason Lee AndersenOwner · (801) 921-0031
Enumeration DateJuly 15, 2021
Last NPPES UpdateAugust 20, 20263 updates tracked since enumeration
NPPES CertifiedAugust 20, 2026
NPI 1023680386 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
1055 N 300 W STE 308, Provo, UT 84604

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

Nurse Practitioner (Psychiatric/Mental Health)
1055 N 300 W STE 308
PROVO, UT 84604
Nurse Practitioner (Family)
1055 N 300 W STE 308
PROVO, UT 84604
Psychiatry & Neurology (Psychiatry)
1055 N 300 W STE 308
PROVO, UT 84604
Psychiatry & Neurology (Psychiatry)
1055 N 300 W STE 308
PROVO, UT 84604

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 Utah Integrative Psychiatry & Addiction Medicine's NPI number?

The NPI number for Utah Integrative Psychiatry & Addiction Medicine is 1023680386. It was assigned to this organization in the NPPES registry on July 15, 2021.

Where is Utah Integrative Psychiatry & Addiction Medicine located?

Utah Integrative Psychiatry & Addiction Medicine is located at 1055 N 300 W Ste 308, Provo, UT 84604. The listed phone number is (801) 921-0031.

What is Utah Integrative Psychiatry & Addiction Medicine's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

When was this NPI record last updated?

The NPPES record for Utah Integrative Psychiatry & Addiction Medicine was last updated on August 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 days 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.