OrganizationActive
Bonneville Mental Health
NPI 1275961781 · Adolescent and Children Mental Health Clinic/Center · Tooele, UT
Provider details
- NPI number
- 1275961781
- Entity type
- Organization
- Primary specialty
- Adolescent and Children Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Brock Howick, Director of Mental Health(435) 248-0373
- License
- 2903 (UT)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
134 W 1180 N Ste 4
Tooele, UT 84074-1483
Phone: (435) 248-0333
Street-level locationGet directions
Mailing address
134 W 1180 N Ste 4
Tooele, UT 84074-1483
Registry dates
- Enumerated
- 2013-10-18
- Last updated
- 2013-11-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.