IRON PHOENIX PSYCHIATRY, LLC
NPI 1255055158
Nurse Practitioner - Psychiatric/Mental Health in Draper, UT

Q: What is Iron Phoenix Psychiatry, LLC's NPI number?

The NPI number for Iron Phoenix Psychiatry, LLC is 1255055158. It was assigned to this organization in the NPPES registry on October 4, 2022.

Q: What is Iron Phoenix Psychiatry, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since October 04, 2022

138 E 12300 S UNIT 860, DRAPER, UT 84020(801) 449-1429 Get Directions Write a Review

NPPES record last updated: October 4, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

On this page

About Iron Phoenix Psychiatry, Llc NPPES

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

IRON PHOENIX PSYCHIATRY, LLC (NPI 1255055158) is a healthcare organization registered as a psychiatric/mental health in Draper, Utah and active in the NPI registry since October 2022. The organization lists Jacob Clark, Owner, as its authorized official.

NPPES Registry Identity

NPI1255055158

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NameIRON PHOENIX PSYCHIATRY, LLC

Location Address138 E 12300 S UNIT 860Draper, UT 84020-7976

Mailing Address138 E 12300 S Unit 860Draper, UT 84020-7976

Phone(801) 449-1429

Organization SubpartNo

Authorized OfficialJacob ClarkOwner · (801) 449-1429

Enumeration DateOctober 4, 2022

NPPES CertifiedOctober 4, 2022

✔ NPI 1255055158 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

138 E 12300 S UNIT 860, Draper, UT 84020

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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Utah.Insurance ›

Other Providers at the Same Location NPPES

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

JACOB CLARK APRN, PMHNP-BC

Nurse Practitioner (Psychiatric/Mental Health)

138 E 12300 S UNIT 860
DRAPER, UT 84020

Salt Lake County (801) 449-1429

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 Iron Phoenix Psychiatry, LLC's NPI number?

The NPI number for Iron Phoenix Psychiatry, LLC is 1255055158. It was assigned to this organization in the NPPES registry on October 4, 2022.

Where is Iron Phoenix Psychiatry, LLC located?

Iron Phoenix Psychiatry, LLC is located at 138 E 12300 S Unit 860, Draper, UT 84020. The listed phone number is (801) 449-1429.

What is Iron Phoenix Psychiatry, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

What insurance does Iron Phoenix Psychiatry, LLC accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Utah list Iron Phoenix 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 Iron Phoenix Psychiatry, LLC was last updated on October 4, 2022. 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.