Fully Integrative
NPI 1770294720 · Mental Health Clinic/Center (Including Community Mental Health Center) · Salt Lake City, UT
Fully Integrative is a Mental Health Clinic/Center (Including Community Mental Health Center) organization in Salt Lake City, UT (NPI 1770294720).
Provider details
- NPI number
- 1770294720
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jacob Stucki, Ceo(435) 590-0116
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
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
Mailing address
Registry dates
- Enumerated
- 2022-12-12
- Last updated
- 2022-12-12
- Certified
- 2022-12-11
Frequently asked questions
- What is Fully Integrative's NPI number?
- Fully Integrative's National Provider Identifier (NPI) is 1770294720, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fully Integrative?
- Fully Integrative is classified in the NPPES registry as Mental Health Clinic/Center (Including Community Mental Health Center) (Ambulatory Health Care Facilities).
- Where is Fully Integrative located?
- Fully Integrative's practice location on file with NPPES is 756 E 500 S, Salt Lake City, UT 84102-2906.
- What is Fully Integrative's phone number?
- The practice phone number listed in the NPPES registry for Fully Integrative is (435) 590-0116.
- Who is the authorized official for Fully Integrative?
- The authorized official listed on Fully Integrative's NPPES record is Jacob Stucki, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fully Integrative's NPI active?
- Yes — Fully Integrative's NPI (1770294720) is active in the NPPES registry as of the last update on 2022-12-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.