BLUE WILLOW PSYCHIATRY
NPI 1366397697
Clinic/Center - Mental Health (Including Community Mental Health Center) in Tooele, UT

Active since March 02, 2026
40A S MAIN ST, TOOELE, UT 84074(435) 200-3430(855) 450-1174 Get Directions Write a Review

NPPES record last updated: March 10, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Mar 10, 2026, Mar 2, 2026 (2 updates tracked since 2026).

About Blue Willow Psychiatry NPPES

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

BLUE WILLOW PSYCHIATRY (NPI 1366397697) is a healthcare organization registered as a mental health (including community mental health center) in Tooele, Utah and active in the NPI registry since March 2026. The organization lists Kristi Lynn Lawrence, Owner, as its authorized official.

NPPES Registry Identity

NPI1366397697
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameBLUE WILLOW PSYCHIATRY
Location Address40A S MAIN STTooele, UT 84074-2132
Mailing Address67 N Center StGrantsville, UT 84029-9605
Fax(855) 450-1174
Organization SubpartNo
Authorized OfficialKristi Lynn LawrenceOwner · (435) 200-3430
Enumeration DateMarch 2, 2026
Last NPPES UpdateMarch 10, 20262 updates tracked since enumeration
NPPES CertifiedMarch 10, 2026
NPI 1366397697 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
40A S MAIN ST, Tooele, UT 84074

Other Providers at the Same Location NPPES

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

Clinic/Center (Mental Health (Including Community Mental Health Center))
40A S MAIN ST
TOOELE, UT 84074

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 Blue Willow Psychiatry's NPI number?

The NPI number for Blue Willow Psychiatry is 1366397697. It was assigned to this organization in the NPPES registry on March 2, 2026.

Where is Blue Willow Psychiatry located?

Blue Willow Psychiatry is located at 40A S Main St, Tooele, UT 84074. The listed phone number is (435) 200-3430.

What is Blue Willow Psychiatry'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.

When was this NPI record last updated?

The NPPES record for Blue Willow Psychiatry was last updated on March 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.