Organization
UTAH INTEGRATIVE PSYCHIATRY & ADDICTION MEDICINE
Active
Organization
UTAH INTEGRATIVE PSYCHIATRY & ADDICTION MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON LEE ANDERSEN (OWNER)
(801) 921-0031
Entity
Organization
Contact information
Practice address
1055 N 300 W STE 308, PROVO, UT 84604-3373
(801) 921-0031
(801) 210-5812
Mailing address
1055 N 300 W STE 308, PROVO, UT 84604-3373
(801) 921-0031
(801) 210-5812
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
07/15/2021
Last updated
08/20/2026
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up