MEDICARE: FORTITUDINE HEALTH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	2084P0800X	Psychiatry Physician
2	2084P0804X	Child & Adolescent Psychiatry Physician
3	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1659190247
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FORTITUDINE HEALTH

Provider Business Mailing Address
First Line	:	3785 HARRISON BLVD STE 4
Second Line	:
City	:	OGDEN
State	:	UT
Zip	:	84403-2072
Country	:	US
Telephone Number	:	801-791-4975
Fax Number	:	385-541-2753

Provider Business Practice Location Address
First Line	:	3785 HARRISON BLVD STE 4
Second Line	:
City	:	OGDEN
State	:	UT
Zip	:	84403-2072
Country	:	US
Telephone Number	:	801-791-4975
Fax Number	:	385-541-2753

Authorized Official
Title or Position	:	PRESIDENT
Name	:	CLARISSA J GOSNEY
Credential	:	PSYD
Telephone Number	:	619-800-3811

Provider Enumeration Date	:	10/09/2024
Last Update Date	:	04/14/2026

Similar Medicare Providers

1285147140 — DR. CLARISSA J GOSNEY PSYD
Practice Location Address:

3785 HARRISON BLVD STE 4
OGDEN, UT
84403-2072

Practice Phone: 619-800-3811
Practice Fax:

1962976738 — MS. AMELIA HOPKIN LCSW
Practice Location Address:

3785 HARRISON BLVD STE 4
OGDEN, UT
84403-2072

Practice Phone: 801-231-1837
Practice Fax:

1346993193 — BRYCE GOSNEY PMHNP
Practice Location Address:

3785 HARRISON BLVD STE 4
OGDEN, UT
84403-2072

Practice Phone: 801-686-8488
Practice Fax:

1528839503 — PINNACLE COUNSELING AND TESTING CENTER OF UTAH
Practice Location Address:

3785 HARRISON BLVD STE 4
OGDEN, UT
84403-2072

Practice Phone: 801-791-4975
Practice Fax:

1235349820 — DR. CASEY C BACHISON M.D.
Practice Location Address:

4403 HARRISON BLVD STE 2400
OGDEN, UT
84403-3297

Practice Phone: 801-387-2750
Practice Fax: 801-387-2755

1740635556 — ETHAN PATRICK BAHAM DO
Practice Location Address:

4403 HARRISON BLVD STE 700A
OGDEN, UT
84403-3295

Practice Phone: 801-387-5300
Practice Fax:

Directions to “FORTITUDINE HEALTH ” Practice Location

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