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Active NPI 1093729048 Organization (Entity Type 2)

Nutcracker

Psychiatry & Neurology - Psychiatry • Salem, UT

About Nutcracker NPI 1093729048 Summary

Nutcracker is a verified healthcare organization specializing in Psychiatry & Neurology - Psychiatry operating in Salem, UT. Located at 251 WEST HWY 198, this facility provides patient care and medical services under National Provider Identifier (NPI) 1093729048.

Administrative operations and authorized compliance are overseen by Phil Washburn (Clinical Adviser).

Facility Location & Contact Primary Location

Facility Address

251 West Hwy 198

Salem, UT 846530786

Telephone 8014233267
Fax 8014233276

Authorized Official Information

Authorized Contact Name

Phil Washburn , MD

Title / Role

Clinical Adviser

Official Telephone

8014233267

Facility Classifications & Specialties

Psychiatry & Neurology - Psychiatry Primary Taxonomy

NUCC Taxonomy Code: 2084P0800X

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 251 WEST HWY 198, SALEM, UT 846530786 (Tel: 8014233267)

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Updated Business Mailing Address July 08, 2007

Registered at PO BOX 786, SALEM, UT 846530786 (Tel: 8014233267)

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Organization / Clinic Name Updated July 08, 2007

Operating as NUTCRACKER

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Psychiatry & Neurology (License #1460511205 in UT)

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Initial NPI Registration & Enumeration July 27, 2006

First registered as active Healthcare Organization in NPPES Database.

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NPI Organization Metadata

NPI Number: 1093729048
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: July 27, 2006
Last Update: August 22, 2020

Mailing Address

Po Box 786

Salem, UT 846530786

Phone: 8014233267

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.
⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.