| Center For Human Potential Inc | |
|
525 E 100 S Suite 120 Salt Lake City UT 84102-2070 | |
| (801) 483-2447 | |
| (801) 486-8705 |
| Full Name | Center For Human Potential Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 525 E 100 S, Salt Lake City, Utah |
| Authorized Official Name and Position | Anthony C Morrison (CEO/PRESIDENT) |
| Authorized Official Contact | 8014832447 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Human Potential Inc 525 E 100 S Suite 120 Salt Lake City UT 84102-4210 Ph: (801) 483-2447 | Center For Human Potential Inc 525 E 100 S Suite 120 Salt Lake City UT 84102-2070 Ph: (801) 483-2447 |
| NPI Number | 1548239940 |
|---|---|
| Provider Enumeration Date | 03/16/2006 |
| Last Update Date | 03/11/2015 |
| Medicare PECOS PAC ID | 0749247849 |
|---|---|
| Medicare Enrollment ID | O20041209001115 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548239940 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Kelly D Garrett |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1245251776 PECOS PAC ID: 9739176447 Enrollment ID: I20040426001700 |
| Provider Name | Christopher B Hallett |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1134107881 PECOS PAC ID: 0345230835 Enrollment ID: I20040517000347 |
| Provider Name | Kathryn J Waddell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1891833257 PECOS PAC ID: 8022079482 Enrollment ID: I20041020000394 |
| Provider Name | Michael O Measom |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861479701 PECOS PAC ID: 4385661388 Enrollment ID: I20051028000675 |
| Provider Name | Lisa Jane Olsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134105364 PECOS PAC ID: 6305907734 Enrollment ID: I20081204000116 |
| Provider Name | Jon Leroy Pertab |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1215239348 PECOS PAC ID: 5698964260 Enrollment ID: I20110112001036 |
| Provider Name | Clint W Peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063642510 PECOS PAC ID: 9537384920 Enrollment ID: I20140626001651 |
| Provider Name | Emma Mansour |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1043611486 PECOS PAC ID: 3072733047 Enrollment ID: I20140926000341 |
| Provider Name | Christy R Atkinson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215319686 PECOS PAC ID: 1153631171 Enrollment ID: I20151103003012 |
| Provider Name | Kathryn Williams Dennett Carpenter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093266876 PECOS PAC ID: 7810277944 Enrollment ID: I20161207002320 |
| Provider Name | Jason Schulz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750825436 PECOS PAC ID: 8224311550 Enrollment ID: I20170213001163 |
| Provider Name | Margaret Brooke Anderson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538509575 PECOS PAC ID: 4587924485 Enrollment ID: I20180215000322 |
| Provider Name | Teresa Sagrati Dieringer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770951592 PECOS PAC ID: 4284542739 Enrollment ID: I20180425001472 |
| Provider Name | Elizabeth Greene |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528414232 PECOS PAC ID: 1658620851 Enrollment ID: I20180821003940 |
| Provider Name | Briana Terry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750738548 PECOS PAC ID: 0840530234 Enrollment ID: I20190321001469 |
| Provider Name | Melissa Margaret Shreve |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1194219709 PECOS PAC ID: 5294075396 Enrollment ID: I20190328000709 |
| Provider Name | Ryan Cochrane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285164236 PECOS PAC ID: 5991033417 Enrollment ID: I20190822000205 |
| Provider Name | Cynthia Lynn Garbett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043835630 PECOS PAC ID: 9234554973 Enrollment ID: I20200729000947 |
| Provider Name | Gabriella Kinikini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649946435 PECOS PAC ID: 1355737974 Enrollment ID: I20220407002696 |
| Provider Name | Gina Nicole Shuster |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497093348 PECOS PAC ID: 0446583710 Enrollment ID: I20220727001899 |
| Provider Name | Kristen Hoppe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558049130 PECOS PAC ID: 0244694305 Enrollment ID: I20230908000565 |
| Provider Name | Emily Elizabeth Barrows |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275212524 PECOS PAC ID: 2961857842 Enrollment ID: I20231012001900 |
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