Healthcare Provider Details

I. General information

NPI: 1710808522
Provider Name (Legal Business Name): PORTER MENTAL HEALTH PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/25/2026
Last Update Date: 07/25/2026
Certification Date: 07/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1413 N ARCADIA DR
SARATOGA SPRINGS UT
84045-3215
US

IV. Provider business mailing address

2901 W BLUE GRASS BLVD STE 200-513
LEHI UT
84048-4188
US

V. Phone/Fax

Practice location:
  • Phone: 480-532-2009
  • Fax:
Mailing address:
  • Phone:
  • Fax:

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: STUART THAIN PORTER
Title or Position: MEMBER
Credential: PMHNP-BC
Phone: 480-532-2009