Healthcare Provider Details

I. General information

NPI: 1699481168
Provider Name (Legal Business Name): SALT LAKE PSYCHIATRY AND WELLNESS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/27/2023
Last Update Date: 08/20/2025
Certification Date: 08/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 N FORT LN APT 105A
LAYTON UT
84041-3409
US

IV. Provider business mailing address

101 N FORT LN APT 105A
LAYTON UT
84041-3409
US

V. Phone/Fax

Practice location:
  • Phone: 801-332-9201
  • Fax: 385-558-5652
Mailing address:
  • Phone: 801-332-9201
  • Fax: 385-558-5652

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateNULL

VIII. Authorized Official

Name: COLIN ANDREW RILEY
Title or Position: DOCTOR
Credential: DNP, PMHNP-BC
Phone: 801-332-9201