FULLY INTEGRATIVE
NPI 1770294720
Clinic/Center - Mental Health (Including Community Mental Health Center) in Salt Lake City, UT

Q: What is Fully Integrative's NPI number?

The NPI number for Fully Integrative is 1770294720. It was assigned to this organization in the NPPES registry on December 12, 2022.

Q: What is Fully Integrative'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.

Q: When was this NPI record last updated?

The NPPES record for Fully Integrative was last updated on December 12, 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.

Active since December 12, 2022

756 E 500 S, SALT LAKE CITY, UT 84102(435) 590-0116 Get Directions Write a Review

NPPES record last updated: December 12, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Fully Integrative NPPES

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

FULLY INTEGRATIVE (NPI 1770294720) is a healthcare organization registered as a mental health (including community mental health center) in Salt Lake City, Utah and active in the NPI registry since December 2022. The organization lists Jacob Stucki, Ceo, as its authorized official.

NPPES Registry Identity

NPI1770294720

Entity TypeOrganization

Primary Taxonomy261QM0801X

Legal Business NameFULLY INTEGRATIVE

Location Address756 E 500 SSalt Lake City, UT 84102-2906

Mailing Address756 E 500 SSalt Lake City, UT 84102-2906 · (435) 590-0116

Phone(435) 590-0116

Organization SubpartNo

Authorized OfficialJacob StuckiCeo · (435) 590-0116

Enumeration DateDecember 12, 2022

NPPES CertifiedDecember 11, 2022

✔ NPI 1770294720 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

756 E 500 S, Salt Lake City, UT 84102

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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 Fully Integrative's NPI number?

The NPI number for Fully Integrative is 1770294720. It was assigned to this organization in the NPPES registry on December 12, 2022.

Where is Fully Integrative located?

Fully Integrative is located at 756 E 500 S, Salt Lake City, UT 84102. The listed phone number is (435) 590-0116.

What is Fully Integrative'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 Fully Integrative was last updated on December 12, 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.