OrganizationActive
Forge Psychiatry PLLC
NPI 1720934615 · Addiction Psychiatry Physician · Bountiful, UT
Provider details
- NPI number
- 1720934615
- Entity type
- Organization
- Primary specialty
- Addiction Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jeremy Thueson, Manager(385) 399-8787
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
450 S 400 E Ste 501
Bountiful, UT 84010-4938
Phone: (385) 399-8787
Fax: (385) 359-0808
Street-level locationGet directions
Mailing address
450 S 400 E Ste 501
Bountiful, UT 84010-4938
Registry dates
- Enumerated
- 2026-03-05
- Last updated
- 2026-03-05
- Certified
- 2026-03-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.