Healthcare Provider Details

I. General information

NPI: 1487583530
Provider Name (Legal Business Name): CANYON VISTA PSYCHIATRY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2026
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1062 E BAMBERGER DR
AMERICAN FORK UT
84003-5504
US

IV. Provider business mailing address

926 W 980 N
AMERICAN FORK UT
84003-2875
US

V. Phone/Fax

Practice location:
  • Phone: 385-483-3723
  • Fax: 385-900-1853
Mailing address:
  • Phone: 385-483-3723
  • Fax: 385-900-1853

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: CHRISTOPHER B PARSON
Title or Position: OWNER
Credential: DNP
Phone: 385-483-3723