LIFE ELEVATED PSYCHIATRY LLC
NPI 1063199305
Clinic/Center - Mental Health (Including Community Mental Health Center) in Draper, UT
NPI Status: Active since June 29, 2023
Contact Information
11620 S STATE ST STE 1403
DRAPER, UT
ZIP 84020
Phone: (385) 302-7369
Fax: (385) 247-8023
- Organization
- Clinic/Center
- Mental Health (Including Community Menta...
- Accepts Insurance
About LIFE ELEVATED PSYCHIATRY LLC
This page provides the complete NPI Profile along with additional information for Life Elevated Psychiatry Llc, a provider established in Draper, Utah operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1063199305 assigned on June 2023. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Brock Haskell Pa-c (Owner)
- NPI
- 1063199305
- Provider Name
- LIFE ELEVATED PSYCHIATRY LLC
- Entity Type
- Organization
- Location Address
- 11620 S STATE ST STE 1403 DRAPER, UT 84020
- Location Phone
- (385) 302-7369
- Location Fax
- (385) 247-8023
- Mailing Address
- 11620 S STATE ST STE 1403 DRAPER, UT 84020
- Mailing Phone
- (385) 302-7369
- Mailing Fax
- (385) 247-8023
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-29-2023
- Last Update Date
- 06-29-2023
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Mental Health (Including Community Mental Health Center)
- Taxonomy Code
- 261QM0801X
- Type
- Ambulatory Health Care Facilities
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Molina Gold Core 1640 - HMO
- Molina Gold Core 1640 Plus with Adult Dental and Vision - HMO
- Molina Gold Standard - HMO
- Molina Silver Core - HMO
- Molina Silver Core Plus with Adult Dental and Vision - HMO
- Molina Silver Core Plus with Adult Vision - HMO
- Molina Silver Saver with Four Free PCP Visits - HMO
- Molina Silver Standard - HMO
- Healthy Premier Bronze HSA - EPO
- Healthy Premier Expanded Bronze Standard - EPO
- Healthy Premier Gold Copay Office Visits - EPO
- Healthy Premier Gold Standard - EPO
- Healthy Premier Silver Copay Office Visits - EPO
- Healthy Premier Silver Standard - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1063199305, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 55 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1063199305, enumerated as an "organization" on June 29, 2023.
The provider is located at 11620 S STATE ST STE 1403 DRAPER, UT 84020 and the phone number is (385) 302-7369.
Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).
The provider might be accepting Accepts: Molina Healthcare and University of Utah Health. Please consult your insurance carrier or call the provider to verify.
