Sideline Sport Psychology PLLC
NPI 1053133322 · Adult Mental Health Clinic/Center · Salt Lake City, UT
Sideline Sport Psychology PLLC is a Adult Mental Health Clinic/Center organization in Salt Lake City, UT (NPI 1053133322).
Provider details
- NPI number
- 1053133322
- Entity type
- Organization
- Primary specialty
- Adult Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jourdan Johnson, Owner(916) 690-0399
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-10-29
- Last updated
- 2024-10-29
- Certified
- 2024-10-29
Frequently asked questions
- What is Sideline Sport Psychology PLLC's NPI number?
- Sideline Sport Psychology PLLC's National Provider Identifier (NPI) is 1053133322, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Sideline Sport Psychology PLLC?
- Sideline Sport Psychology PLLC is classified in the NPPES registry as Adult Mental Health Clinic/Center (Ambulatory Health Care Facilities).
- Where is Sideline Sport Psychology PLLC located?
- Sideline Sport Psychology PLLC's practice location on file with NPPES is 1336 S 1100 E, Salt Lake City, UT 84105-2421.
- What is Sideline Sport Psychology PLLC's phone number?
- The practice phone number listed in the NPPES registry for Sideline Sport Psychology PLLC is (385) 899-2251.
- Who is the authorized official for Sideline Sport Psychology PLLC?
- The authorized official listed on Sideline Sport Psychology PLLC's NPPES record is Jourdan Johnson, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Sideline Sport Psychology PLLC's NPI active?
- Yes — Sideline Sport Psychology PLLC's NPI (1053133322) is active in the NPPES registry as of the last update on 2024-10-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.