| Feller Behavioral Health Services | |
|
537 W 2600 S Ste 203 Bountiful UT 84010-7780 | |
| (801) 809-1049 | |
| Not Available |
| Full Name | Feller Behavioral Health Services |
|---|---|
| Speciality | Social Worker |
| Location | 537 W 2600 S Ste 203, Bountiful, Utah |
| Authorized Official Name and Position | Kelly Carl Feller (OWNER) |
| Authorized Official Contact | 8018091049 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Feller Behavioral Health Services 537 W 2600 S Ste 203 Bountiful UT 84010-7780 Ph: (801) 809-1049 | Feller Behavioral Health Services 537 W 2600 S Ste 203 Bountiful UT 84010-7780 Ph: (801) 809-1049 |
| NPI Number | 1295177038 |
|---|---|
| Provider Enumeration Date | 07/22/2013 |
| Last Update Date | 09/06/2013 |
| Medicare PECOS PAC ID | 6800030727 |
|---|---|
| Medicare Enrollment ID | O20130916000547 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295177038 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 7057775-3501 (Utah) | Primary |
| Provider Name | Kelly Carl Feller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134417132 PECOS PAC ID: 8325282247 Enrollment ID: I20130916000606 |
| Provider Name | Spencer Lowe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427539014 PECOS PAC ID: 9133468291 Enrollment ID: I20190307000679 |
| Provider Name | Amanda K Banfill |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740849389 PECOS PAC ID: 1759799612 Enrollment ID: I20210414002769 |
| Provider Name | Rebecca L Feller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861896813 PECOS PAC ID: 8729484803 Enrollment ID: I20221020002915 |
| Provider Name | Sadie Pyne |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316426570 PECOS PAC ID: 1850765504 Enrollment ID: I20230320000915 |
| Provider Name | Braeden Gates |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174042352 PECOS PAC ID: 9234506239 Enrollment ID: I20230328001720 |
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