1. Home
  2. Directory
  3. Utah
  4. Draper
  5. Clinic Center
  6. NPI Profile

LIFE ELEVATED PSYCHIATRY LLC
NPI 1063199305
Clinic/Center - Mental Health (Including Community Mental Health Center) in Draper, UT

Active since June 29, 2023
11620 S STATE ST STE 1403, DRAPER, UT 84020(385) 302-7369(385) 247-8023 Get Directions Write a Review

NPPES record last updated: June 29, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Life Elevated Psychiatry Llc NPPES

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

LIFE ELEVATED PSYCHIATRY LLC (NPI 1063199305) is a healthcare organization registered as a mental health (including community mental health center) in Draper, Utah and active in the NPI registry since June 2023. The organization lists Brock Haskell, Owner, as its authorized official.

NPPES Registry Identity

NPI1063199305
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameLIFE ELEVATED PSYCHIATRY LLC
Location Address11620 S STATE ST STE 1403Draper, UT 84020-7124
Mailing Address11620 S State St Ste 1403Draper, UT 84020-7124 · (385) 302-7369 · Fax (385) 247-8023
Phone(385) 302-7369
Fax(385) 247-8023
Organization SubpartNo
Authorized OfficialBrock HaskellOwner · (385) 302-7369
Enumeration DateJune 29, 2023
NPPES CertifiedJune 29, 2023
✔ NPI 1063199305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
11620 S STATE ST STE 1403, Draper, UT 84020
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, University of Utah Health Plans.Insurance ›

Other Providers at the Same Location NPPES 3

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

DR. CORINNE RAE HANNAN PHD
Psychologist (Clinical)
11620 S STATE ST STE 1403
DRAPER, UT 84020
Salt Lake County (801) 999-8840
CAMERY ROSE VICTOR LCSW
Social Worker (Clinical)
11620 S STATE ST STE 1403
DRAPER, UT 84020
Salt Lake County (801) 508-4150
BROCK HASKELL
Physician Assistant
11620 S STATE ST STE 1403
DRAPER, UT 84020
Salt Lake County (385) 302-7369

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 Life Elevated Psychiatry LLC's NPI number?

The NPI number for Life Elevated Psychiatry LLC is 1063199305. It was assigned to this organization in the NPPES registry on June 29, 2023.

Where is Life Elevated Psychiatry LLC located?

Life Elevated Psychiatry LLC is located at 11620 S State St Ste 1403, Draper, UT 84020. The listed phone number is (385) 302-7369.

What is Life Elevated Psychiatry LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

What insurance does Life Elevated Psychiatry LLC accept?

Health plans from Molina Healthcare and University of Utah Health Plans list Life Elevated Psychiatry LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Life Elevated Psychiatry LLC was last updated on June 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.