| Smile Psychiatry And Behavioral | |
|
138 E 12300 S Unit 328 Draper UT 84020-7976 | |
| (801) 406-6256 | |
| (859) 545-4978 |
| Full Name | Smile Psychiatry And Behavioral |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 138 E 12300 S Unit 328, Draper, Utah |
| Authorized Official Name and Position | Brian Berrett (OWNER) |
| Authorized Official Contact | 8014066256 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Smile Psychiatry And Behavioral 138 E 12300 S Unit 328 Draper UT 84020-7976 Ph: (801) 406-6256 | Smile Psychiatry And Behavioral 138 E 12300 S Unit 328 Draper UT 84020-7976 Ph: (801) 406-6256 |
| NPI Number | 1043970262 |
|---|---|
| Provider Enumeration Date | 12/29/2021 |
| Last Update Date | 03/14/2025 |
| Certification Date | 03/14/2025 |
| Medicare PECOS PAC ID | 4082138904 |
|---|---|
| Medicare Enrollment ID | O20250411002021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043970262 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Halley J Brown |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1174028146 PECOS PAC ID: 1951654888 Enrollment ID: I20181023002450 |
| Provider Name | Brian Berrett |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396107595 PECOS PAC ID: 6103104815 Enrollment ID: I20221006003120 |
| Provider Name | Bruno Ferreira Silva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407521214 PECOS PAC ID: 6103293014 Enrollment ID: I20221107001485 |
| Provider Name | Burton Fullmer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295087112 PECOS PAC ID: 0547611998 Enrollment ID: I20240110000837 |
| Provider Name | Tiffany Zwahlen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841840444 PECOS PAC ID: 3870936602 Enrollment ID: I20240208003589 |
| Provider Name | Rachel Ellen Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811624067 PECOS PAC ID: 1355780487 Enrollment ID: I20240422002024 |
| Provider Name | Fernanda Johnston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104133065 PECOS PAC ID: 0941672612 Enrollment ID: I20250422002689 |
| Provider Name | Jalayne Telford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548030687 PECOS PAC ID: 8426568684 Enrollment ID: I20250606003681 |
Thriving Hearts Therapy, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 13363 S Saddle Villa Dr, Draper, UT 84020 Phone: 831-308-4020 | |
Life Elevated Psychiatry Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 11620 S State St Ste 1403, Draper, UT 84020 Phone: 385-302-7369 Fax: 385-247-8023 | |
Caroline Welsh Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 782 E Pioneer Rd Ste 300, Draper, UT 84020 Phone: 385-312-0282 | |
Inner Peace Counseling Of Utah Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11618 S State St Ste 1604, Draper, UT 84020 Phone: 385-202-5645 | |
Corner Canyon Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 248 E 13800 S, Suite 4, Draper, UT 84020 Phone: 801-816-1801 Fax: 801-501-0249 | |
Aspire Draper Lone Peak Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 121 W Election Rd Ste 110, Draper, UT 84020 Phone: 801-525-4645 Fax: 801-779-7808 |