FOUNDATION MEDICAL LLC
NPI 1104760685
Psychiatry & Neurology - Psychiatry in American Fork, UT

NPI Status: Active since April 16, 2026

Contact Information

456 E STATE RD STE 1400
AMERICAN FORK, UT
ZIP 84003
Phone: (804) 506-0526

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  • Organization
  • Psychiatry & Neurology
  • Psychiatry
  • CLIA Number: 49D2198761
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 11-03-2026

About FOUNDATION MEDICAL LLC

This page provides the complete NPI Profile along with additional information for Foundation Medical Llc, a provider established in American Fork, Utah operating as a Psychiatry & Neurology, focusing in psychiatry . The healthcare provider is registered in the NPI registry with number 1104760685 assigned on April 2026. The practitioner's primary taxonomy code is 2084P0800X. The provider is registered as an organization and their NPI record was last updated April 2026. Foundation Medical Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Timothy James Bunton (Ceo)

NPI
1104760685
Provider Name
FOUNDATION MEDICAL LLC
Entity Type
Organization
Location Address
456 E STATE RD STE 1400 AMERICAN FORK, UT 84003
Location Phone
(804) 506-0526
Mailing Address
11600 BUSY STREET STE 203 RICHMOND, VA 23236
Mailing Phone
(804) 506-0526
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-16-2026
Last Update Date
04-16-2026
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A psychiatrist like Foundation Medical Llc are primary mental health physicians diagnose and treat mental illnesses through psychotherapy, psychoanalysis, hospitalization and medication. Psychiatrist help patients find solutions through changes in their behavioral patterns, explorations of experiences, group and family therapy.

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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

Psychiatry & Neurology Psychiatry

Taxonomy Code
2084P0800X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

TIMOTHY JAMES BUNTON

Authorized Official Title
CEO
Authorized Official Phone
(804) 506-0526

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
49D2198761
Facility Type
Physician Office
Certificate Effective Date
November 04, 2024
Certificate Expiration Date
November 03, 2026
Laboratory Director
TIMOTHY J. BUNTON
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Foundation Medical Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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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 1104760685, 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.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
0
Doubled → 0
Pos 4
4
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
6
Unchanged
Pos 7
0
Doubled → 0
Pos 8
6
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
5
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 0 → 0 7 → 14 → 5 0 → 0 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 0 + 4 + 1 + 4 + 6 + 0 + 6 + 1 + 6 + 24 = 55

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.

60 - 55 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1104760685.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104760685, enumerated as an "organization" on April 16, 2026.

The provider is located at 456 E STATE RD STE 1400 AMERICAN FORK, UT 84003 and the phone number is (804) 506-0526.

Psychiatry & Neurology with taxonomy code 2084P0800X and a focus in Psychiatry.