Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Forge Psychiatry PLLC

Organization Addiction Psychiatry Physician · NPI 1720934615

Forge Psychiatry PLLC is an Addiction Psychiatry Physician in Bountiful, Utah. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

450 S 400 E Ste 501
Bountiful, UT 84010-4938
Phone: (385) 399-8787
Fax: (385) 359-0808
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction Psychiatry Physician (primary) Taxonomy 2084P0802X

Record details

NPI number1720934615
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeremy Thueson — Manager · (385) 399-8787
NPI enumeratedMarch 5, 2026
Last updated in NPPESMarch 5, 2026
Certification dateMarch 5, 2026
Mailing address450 S 400 E Ste 501, Bountiful, UT 84010-4938

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