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GREAT SALT LAKE WELLNESS INC
NPI 1790152940
Psychologist - Clinical in Kaysville, UT

Active since August 24, 2015
375 N MAIN ST STE 202, KAYSVILLE, UT 84037(801) 844-1615(801) 825-1162 Get Directions Write a Review

NPPES record last updated: April 17, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Great Salt Lake Wellness Inc NPPES

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

GREAT SALT LAKE WELLNESS INC (NPI 1790152940) is a healthcare organization registered as a clinical in Kaysville, Utah and active in the NPI registry since August 2015. The organization lists Emily Young Bullock, Owner, as its authorized official.

NPPES Registry Identity

NPI1790152940
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameGREAT SALT LAKE WELLNESS INC
Location Address375 N MAIN ST STE 202Kaysville, UT 84037-1278
Mailing Address375 N Main St Ste 202Kaysville, UT 84037-1278 · (801) 844-1615 · Fax (385) 209-2975
Phone(801) 844-1615
Fax(801) 825-1162
Organization SubpartNo
Authorized OfficialEmily Young BullockOwner · (801) 389-9521
Enumeration DateAugust 24, 2015
Last NPPES UpdateApril 17, 2024
NPPES CertifiedApril 17, 2024
✔ NPI 1790152940 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in UT · 7510289-2501
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
375 N MAIN ST STE 202, Kaysville, UT 84037
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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, Molina Healthcare, Regence BlueCross BlueShield of Utah and more.Insurance ›

Other Providers at the Same Location NPPES 11

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

MRS. MARCIA R LIGHT
Counselor (Mental Health)
375 N MAIN ST STE 202
KAYSVILLE, UT 84037
Davis County (801) 872-4230
MRS. JILL PERRY LCSW
Social Worker
375 N MAIN ST STE 202
KAYSVILLE, UT 84037
Davis County (801) 844-1615
INTEGRATIVE AMD HOLISTIC CENTER, LLC
Clinic/Center (Adult Mental Health)
375 N MAIN ST STE 202
KAYSVILLE, UT 84037
Davis County (801) 923-3290
NO BARKING ENTERPRISES, LLC
Public Health or Welfare
375 N MAIN ST STE 202
KAYSVILLE, UT 84037
Davis County (385) 441-5566
MRS. RACHAEL ANNE JASPERSON LCSW
Social Worker (Clinical)
375 N MAIN ST STE 202
KAYSVILLE, UT 84037
Davis County (818) 642-9397
TREVOR JAMES
Counselor (Mental Health)
375 N MAIN ST STE 202
KAYSVILLE, UT 84037
Davis County (801) 844-1615
AFFORDABLE KETAMINE CLINICS, LLC
Nurse Anesthetist, Certified Registered
375 N MAIN ST STE 202
KAYSVILLE, UT 84037
Davis County (801) 450-7147
NATASHA ORTON
Social Worker (Clinical)
375 N MAIN ST STE 202
KAYSVILLE, UT 84037
Davis County (801) 844-1615

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 Great Salt Lake Wellness Inc's NPI number?

The NPI number for Great Salt Lake Wellness Inc is 1790152940. It was assigned to this organization in the NPPES registry on August 24, 2015.

Where is Great Salt Lake Wellness Inc located?

Great Salt Lake Wellness Inc is located at 375 N Main St Ste 202, Kaysville, UT 84037. The listed phone number is (801) 844-1615.

What is Great Salt Lake Wellness Inc's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

What insurance does Great Salt Lake Wellness Inc accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list Great Salt Lake Wellness Inc 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 Great Salt Lake Wellness Inc was last updated on April 17, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.