Healthcare Provider Details
I. General information
NPI: 1093641326
Provider Name (Legal Business Name): ABOVE PSYCHIATRY LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/23/2026
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6476 N FLAT TOP DR
TOOELE UT
84074-1220
US
IV. Provider business mailing address
6476 N FLAT TOP DR
TOOELE UT
84074-1220
US
V. Phone/Fax
- Phone: 435-277-0321
- Fax: 435-355-3704
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LP0808X |
| Taxonomy | Psychiatric/Mental Health Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JESSICA
ERIN
SUTHERLAND
Title or Position: OWNER AND FOUNDER
Credential: DNP, PMHNP, CARN-AP
Phone: 435-277-0321