OrganizationActive
Mind, Body, Soul, Utah
NPI 1407169907 · Mental Health Clinic/Center (Including Community Mental Health Center) · Salt Lake City, UT
Provider details
- NPI number
- 1407169907
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Charles Nuttall, Owner(801) 906-8780
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
699 E South Temple
Suite 300
Salt Lake City, UT 84102-1142
Phone: (801) 906-8780
Street-level locationGet directions
Mailing address
699 E South Temple
Salt Lake City, UT 84102-1142
Registry dates
- Enumerated
- 2010-07-26
- Last updated
- 2017-04-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.