KICK THE HABIT ADDICTION MEDICINE, LLC
NPI 1780154195
Clinic/Center - Medical Specialty in American Fork, UT

Active since November 28, 2018
74 S 360 E, AMERICAN FORK, UT 84003(949) 237-2874(844) 240-9439 Get Directions Write a Review

NPPES record last updated: March 5, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 5, 2019, Nov 28, 2018 (2 updates tracked since 2018).

  • Organization
  • Clinic/Center
  • Medical Specialty
  • Accepts Insurance

About KICK THE HABIT ADDICTION MEDICINE, LLC

This page provides the complete NPI Profile along with additional information for Kick The Habit Addiction Medicine, Llc, a provider established in American Fork, Utah operating as a Clinic/center, focusing in medical specialty . The healthcare provider is registered in the NPI registry with number 1780154195 assigned on November 2018. The practitioner's primary taxonomy code is 261QM2500X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The authorized official of this NPI record is Robert Joel Bush Md (Ceo)

NPI
1780154195 Verify this NPI
Provider Name
KICK THE HABIT ADDICTION MEDICINE, LLC
Entity Type
Organization
Location Address
74 S 360 E AMERICAN FORK, UT 84003
Location Phone
(949) 237-2874
Location Fax
(844) 240-9439
Mailing Address
74 S 360 E AMERICAN FORK, UT 84003
Mailing Phone
(949) 237-2874
Mailing Fax
(844) 240-9439
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-28-2018
Last Update Date
03-05-2019
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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

Clinic/Center Medical Specialty

Taxonomy Code
261QM2500X
Type
Ambulatory Health Care Facilities
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Molina Gold Core 1640 - HMO
  • Molina Gold Core 1640 Plus with Adult Dental and Vision - HMO
  • Molina Gold Standard - HMO
  • Molina Silver Core - HMO
  • Molina Silver Core Plus with Adult Dental and Vision - HMO
  • Molina Silver Core Plus with Adult Vision - HMO
  • Molina Silver Saver with Four Free PCP Visits - HMO
  • Molina Silver Standard - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

ROBERT JOEL BUSH MD

Authorized Official Title
CEO
Authorized Official Phone
(949) 237-2874

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1780154195, enumerated as an "organization" on November 28, 2018.

The provider is located at 74 S 360 E AMERICAN FORK, UT 84003 and the phone number is (949) 237-2874.

Clinic/Center with taxonomy code 261QM2500X and a focus in Medical Specialty.

The provider might be accepting Accepts: Molina Healthcare. Please consult your insurance carrier or call the provider to verify.