Provider Demographics
NPI:1366318222
Name:ALLEN PSYCHIATRY LLC
Entity type:Organization
Organization Name:ALLEN PSYCHIATRY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PMHNP
Authorized Official - Prefix:
Authorized Official - First Name:TODD
Authorized Official - Middle Name:B
Authorized Official - Last Name:ALLEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:385-504-1334
Mailing Address - Street 1:3311 N UNIVERSITY AVE STE 275
Mailing Address - Street 2:
Mailing Address - City:PROVO
Mailing Address - State:UT
Mailing Address - Zip Code:84604-7407
Mailing Address - Country:US
Mailing Address - Phone:385-504-1334
Mailing Address - Fax:801-210-5812
Practice Address - Street 1:3311 N UNIVERSITY AVE STE 275
Practice Address - Street 2:
Practice Address - City:PROVO
Practice Address - State:UT
Practice Address - Zip Code:84604-7407
Practice Address - Country:US
Practice Address - Phone:385-504-1334
Practice Address - Fax:801-210-5812
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-16
Last Update Date:2025-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty