Healthcare Provider Details

I. General information

NPI: 1336078518
Provider Name (Legal Business Name): NEUROMEND TMS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2026
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3355 N UNIVERSITY AVE # 150
PROVO UT
84604-4481
US

IV. Provider business mailing address

7533 S CENTER VIEW CT STE N
WEST JORDAN UT
84084-5526
US

V. Phone/Fax

Practice location:
  • Phone: 801-459-8003
  • Fax:
Mailing address:
  • Phone: 801-459-8003
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL MONTIE
Title or Position: PSYCHIATRIST
Credential: DO
Phone: 801-459-8003