Life Elevated Psychiatry LLC
NPI 1063199305 · Mental Health Clinic/Center (Including Community Mental Health Center) · Draper, UT
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Life Elevated Psychiatry LLC is a Mental Health Clinic/Center (Including Community Mental Health Center) organization in Draper, UT (NPI 1063199305).
Provider details
- NPI number
- 1063199305
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Brock Haskell, Owner(385) 302-7369
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
2 yrs 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
- 2023-06-29
- Last updated
- 2023-06-29
- Certified
- 2023-06-29
Frequently asked questions
- What is Life Elevated Psychiatry LLC's NPI number?
- Life Elevated Psychiatry LLC's National Provider Identifier (NPI) is 1063199305, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Life Elevated Psychiatry LLC?
- Life Elevated Psychiatry LLC is classified in the NPPES registry as Mental Health Clinic/Center (Including Community Mental Health Center) (Ambulatory Health Care Facilities).
- Where is Life Elevated Psychiatry LLC located?
- Life Elevated Psychiatry LLC's practice location on file with NPPES is 11620 S State St Ste 1403, Draper, UT 84020-7124.
- What is Life Elevated Psychiatry LLC's phone number?
- The practice phone number listed in the NPPES registry for Life Elevated Psychiatry LLC is (385) 302-7369.
- Does Life Elevated Psychiatry LLC accept Medicare?
- Life Elevated Psychiatry LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Life Elevated Psychiatry LLC?
- The authorized official listed on Life Elevated Psychiatry LLC's NPPES record is Brock Haskell, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Life Elevated Psychiatry LLC's NPI active?
- Yes — Life Elevated Psychiatry LLC's NPI (1063199305) is active in the NPPES registry as of the last update on 2023-06-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.