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NPI 1134830193 · Mental Health Clinic/Center (Including Community Mental Health Center) · Ogden, UT
Provider details
- NPI number
- 1134830193
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Amanda Carlson, Owner(801) 671-5622
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
4933 S 1500 W Ste 200
Ogden, UT 84405-7738
Phone: (801) 671-5622
Street-level locationGet directions
Mailing address
2623 N 1575 E
Layton, UT 84040-8509
Registry dates
- Enumerated
- 2022-12-12
- Last updated
- 2022-12-12
- Certified
- 2022-12-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.