OrganizationActive
Jordan Rullo LLC
NPI 1881109544 · Adult Mental Health Clinic/Center · Salt Lake City, UT
Provider details
- NPI number
- 1881109544
- Entity type
- Organization
- Primary specialty
- Adult Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jordan Rullo, Psychologist/Manager(612) 991-3042
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
1433 S 1100 E
Salt Lake City, UT 84105-2434
Phone: (385) 202-4250
Street-level locationGet directions
Mailing address
2958 S Metropolitan Way
Salt Lake City, UT 84109-2237
Registry dates
- Enumerated
- 2017-12-04
- Last updated
- 2017-12-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.