| Calm Mind, Inc. | |
|
8706 S 700 E Ste 103 Sandy UT 84070-1808 | |
| (801) 652-2720 | |
| (801) 606-7738 |
| Full Name | Calm Mind, Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 8706 S 700 E Ste 103, Sandy, Utah |
| Authorized Official Name and Position | Kayleen M Fuller (PRESIDENT) |
| Authorized Official Contact | 8016522720 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Calm Mind, Inc. 8706 S 700 E Ste 103 Sandy UT 84070-1808 Ph: (801) 652-2720 | Calm Mind, Inc. 8706 S 700 E Ste 103 Sandy UT 84070-1808 Ph: (801) 652-2720 |
| NPI Number | 1215360425 |
|---|---|
| Provider Enumeration Date | 08/12/2013 |
| Last Update Date | 04/18/2019 |
| Medicare PECOS PAC ID | 4981908951 |
|---|---|
| Medicare Enrollment ID | O20160211001755 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215360425 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 2004192501 (Utah) | Primary |
| Provider Name | Kayleen M Fuller |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1073552402 PECOS PAC ID: 8628132750 Enrollment ID: I20090204000056 |
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